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hey everyone dr jeff peng here a bombshell article just came out highlighting even more of the toxicities of cortisone injections what im going to do is im going to review that article here as well as go over a prior article looking at why you need to start reconsidering getting cortisone injections so this practice changing article is titled rapidly destructive hip disease following inter-articular corticosteroid injection of the hip and this was published in the journal of bone and joint surgery just a few weeks ago so the purpose of this study was to evaluate for an association between corticosteroid injection and rapidly destructive hip disease and the authors did a case control analysis and they found that hip cortisone injection was in fact associated with the development of rapidly destructive hip disease they found that there was a dose response curve meaning the higher dose of steroids patients got the higher the risk of developing rapidly d