McMorrow Katie, Allahabadi Sachin, Frazier Landon, Quigley Ryan, Serrano Brian, Cole Brian J
Midwest Orthopaedics at Rush, Chicago, Illinois, U.S.A.
Chicago Bulls, Chicago, Illinois, U.S.A.
Arthrosc Sports Med Rehabil. 2023 Jul 29;5(5):100763. doi: 10.1016/j.asmr.2023.100763. eCollection 2023 Oct.
Return to sport following a corticosteroid injection is a complex decision. Multiple considerations should be taken into account, including steroid dose and formulation, involvement of the affected joint in the activity, and intensity of the activity. Research investigating the adverse effects of corticosteroid injections with early initiation of high-intensity activity is limited and has produced mixed results. Rest following injections has typically been recommended to minimize both chondrotoxic effects and systemic absorption. Based on the current research and extensive experience treating professional athletes, we recommend 1 to 2 days of rest of the affected joint or region with a progressive increase of activity following a corticosteroid injection with possible benefits including maximizing the beneficial effects of the injection and a reduced systemic effect.
Level V, expert opinion.
注射皮质类固醇激素后恢复运动是一个复杂的决定。应考虑多个因素，包括类固醇剂量和剂型、受影响关节在活动中的参与情况以及活动强度。关于早期开始高强度活动的皮质类固醇注射不良反应的研究有限，结果也不一。通常建议注射后休息，以尽量减少软骨毒性作用和全身吸收。基于目前的研究以及治疗职业运动员的丰富经验，我们建议在注射皮质类固醇激素后，让受影响的关节或部位休息1至2天，并逐渐增加活动量，这样做可能带来的好处包括使注射的有益效果最大化以及降低全身影响。
V级，专家意见。
