What Is the Treatment of Ankle Osteoarthritis with an Intra-Articular Injection?
Symptomatic ankle osteoarthritis can be addressed through a locally delivered, joint-directed approach. This protocol outlines a first-line strategy targeting the ankle joint directly.
The clinical scenario involves ankle osteoarthritis managed with an intra-articular intervention administered at the site of the affected joint — a strategy supported across multiple clinical guidelines.
Treatment approach
The protocol centres on an intra-articular injection delivered into the ankle joint. The specific agent used and further details of the regimen — including guidance method — are available in the full structured protocol.
References
DOI: 10.1016/j.rdc.2022.03.009.
- In terms of intra-articular therapies, all of the guidelines recommended intra-articular corticosteroid (IACS) injections for the knee and hip, with most providing a weak or conditional recommendation and ACR/AF providing a strong recommendation; for the hip, the ACR/AF also strongly recommended ultrasound guidance for intra-articular therapy.
- IACS may be considered, whereas other intra-articular therapies were generally not recommended, or in the case of IAHA, only to be considered if other therapies have failed.
- Intra-articular corticosteroids were recommended at varying strengths throughout the guidelines in recognition of their short-term efficacy.
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