IA glucocorticoids are strongly recommended for OA in which joints?

• A. Hand
• B. Knee and hip
• C. Ankle
• D. Shoulder

Answer: (B)

Intra-articular glucocorticoids provide rapid, short‑term relief by reducing inflammation inside the joint. They are most strongly recommended for OA in large, accessible joints where inflammation commonly drives pain and function is most clearly affected. The knee has the strongest evidence for symptomatic benefit from IA steroids, making it the joint where this treatment is most consistently recommended. The hip can also benefit when injections are appropriate and feasible, yielding meaningful short-term relief. In contrast, smaller joints like the ankle or shoulder have less robust data and less consistent response, so IA glucocorticoids are not as strongly recommended there. Overall, the knee and hip are the joints where IA steroids are most clearly supported for OA management.