Hip osteonecrosis

Hey guys. Young attending here 1 year out of fellowship. My fellowship was spine heavy and now dealing with a lot of large joint issues as well. I have a large very old population/nursing home with severe hip pain and x ray findings. Most have subchondral sclerosis/findings consistent with osteoporosis and not surgical candidate. Other than the more conservative stuff, do we still feel comfortable injecting them knowing that high concentration of intra-articular steroids and progress... Hip osteonecrosis
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