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Corticosteroids
Nathan D. Cecava, MD
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KEY FACTS

  • Imaging

    TERMINOLOGY

    • Definitions

      • Musculoskeletal complications related to corticosteroid (CS) therapy
      • CSs downregulate inflammatory cytokines
      • CS therapy widely used for systemic and focal inflammatory conditions, immune suppression, and pain relief

    IMAGING

    • Systemic Corticosteroid Complications: Oral and IV

      • Directed Corticosteroid Injection Complications: Joints, Tendon sheaths, Bursa

        Selected References

        1. Kobza AO et al: Understanding and managing corticosteroid-induced osteoporosis. Open Access Rheumatol. 13:177-90, 2021
        2. Kompel AJ et al: Intra-articular corticosteroid injections in the hip and knee: perhaps not as safe as we thought? Radiology. 293(3):656-63, 2019
        3. Shah A et al: Musculoskeletal corticosteroid administration: current concepts. Can Assoc Radiol J. 70(1):29-36, 2019
        4. Buckley L et al: 2017 American College of Rheumatology guideline for the prevention and treatment of glucocorticoid-induced osteoporosis. Arthritis Rheumatol. 69(8):1521-37, 2017
        5. Sidhu HS et al: Imaging features of therapeutic drug-induced musculoskeletal abnormalities. Radiographics. 32(1):105-27, 2012
        6. MacMahon PJ et al: Injectable corticosteroid and local anesthetic preparations: a review for radiologists. Radiology. 252(3):647-61, 2009
        7. Olney RC: Mechanisms of impaired growth: effect of steroids on bone and cartilage. Horm Res. 72 Suppl 1:30-5, 2009
        8. Schulze M et al: MRI findings in inflammatory muscle diseases and their noninflammatory mimics. AJR Am J Roentgenol. 192(6):1708-16, 2009
        9. Dimeff RJ: Complications of corticosteroid therapy in athletic injuries: a review. Clin J Sport Med. 16(3):279-80, 2006
        10. Lawson J: Drug-induced metabolic bone disorders. Semin Musculoskelet Radiol. 6(4):285-97, 2002
        Related Anatomy
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        Related Differential Diagnoses
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        References
        Tables

        Tables

        KEY FACTS

        • Imaging

          TERMINOLOGY

          • Definitions

            • Musculoskeletal complications related to corticosteroid (CS) therapy
            • CSs downregulate inflammatory cytokines
            • CS therapy widely used for systemic and focal inflammatory conditions, immune suppression, and pain relief

          IMAGING

          • Systemic Corticosteroid Complications: Oral and IV

            • Directed Corticosteroid Injection Complications: Joints, Tendon sheaths, Bursa

              Selected References

              1. Kobza AO et al: Understanding and managing corticosteroid-induced osteoporosis. Open Access Rheumatol. 13:177-90, 2021
              2. Kompel AJ et al: Intra-articular corticosteroid injections in the hip and knee: perhaps not as safe as we thought? Radiology. 293(3):656-63, 2019
              3. Shah A et al: Musculoskeletal corticosteroid administration: current concepts. Can Assoc Radiol J. 70(1):29-36, 2019
              4. Buckley L et al: 2017 American College of Rheumatology guideline for the prevention and treatment of glucocorticoid-induced osteoporosis. Arthritis Rheumatol. 69(8):1521-37, 2017
              5. Sidhu HS et al: Imaging features of therapeutic drug-induced musculoskeletal abnormalities. Radiographics. 32(1):105-27, 2012
              6. MacMahon PJ et al: Injectable corticosteroid and local anesthetic preparations: a review for radiologists. Radiology. 252(3):647-61, 2009
              7. Olney RC: Mechanisms of impaired growth: effect of steroids on bone and cartilage. Horm Res. 72 Suppl 1:30-5, 2009
              8. Schulze M et al: MRI findings in inflammatory muscle diseases and their noninflammatory mimics. AJR Am J Roentgenol. 192(6):1708-16, 2009
              9. Dimeff RJ: Complications of corticosteroid therapy in athletic injuries: a review. Clin J Sport Med. 16(3):279-80, 2006
              10. Lawson J: Drug-induced metabolic bone disorders. Semin Musculoskelet Radiol. 6(4):285-97, 2002