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Table 8 Guideline recommendations for intraarticular injections

From: A critical appraisal of guidelines for the management of knee osteoarthritis using Appraisal of Guidelines Research and Evaluation criteria

  AAOS [10] EULAR [6] ICSI [9] Schnitzer/ACR [7]
Corticosteroid Recommended (D) if inflammation Recommended (B) Recommended Recommended as adjunct treatment to oral therapy, for patients with contraindication to NSAIDs/coxibs or for patients who have not responded to oral therapy
Hyaluronic acid   Recommended (B) Recommended (2) Recommended as adjunct treatment to oral therapy, for patients with contraindication to NSAIDs/coxibs or for patients who have not responded to oral therapy
  1. AAOS, American Academy of Orthopaedic Surgeons; ACR, American College of Rheumatology; EULAR, European League Against Rheumatism; ICSI, Institute for Clinical Systems Improvement; NSAID, nonsteroidal anti-inflammatory drug.