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Hip Injection

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181. Analgesic Effect of Duloxetine on an Animal Model of Monosodium Iodoacetate-Induced Hip Osteoarthritis. (Abstract)

Analgesic Effect of Duloxetine on an Animal Model of Monosodium Iodoacetate-Induced Hip Osteoarthritis. We investigated the efficacy of duloxetine on hyperalgesia, histopathological and radiographic findings, pain-related sensory innervation of dorsal-root ganglia (DRG), and spinal changes in a rat model of induced hip osteoarthritis (OA). The right hip joints of male Sprague-Dawley rats (n = 6 rats/group) in the Sham group were injected with 25 μl of sterile saline and 25 μl of sterile saline (...) for ionized-calcium-binding adaptor molecule 1 (Iba1) in the dorsal horn of the spinal cord. MIA administration into the hip joint let to mechanical hyperalgesia of the ipsilateral hind paw (p < 0.05). A single injection of duloxetine significantly attenuated it in induced hip OA (p < 0.05) and suppressed the number of Iba1-ir microglia of the ipsilateral dorsal horn (p < 0.05). These results suggest that a single injection of duloxetine suppressed mechanical hyperalgesia and may influence the expression

2019 Journal of Orthopaedic Research

182. Editorial Commentary: The Truth about Peripheral Nerve Blocks and Hip Arthroscopy. Full Text available with Trip Pro

Editorial Commentary: The Truth about Peripheral Nerve Blocks and Hip Arthroscopy. Peripheral nerve blocks targeting the fascia iliaca compartment have been used in attempts to improve postoperative pain after hip arthroscopy surgery. Recent level I evidence from randomized controlled trials have revealed injection of local anesthetic into the fascia iliaca compartment to be no better than sham injection for postoperative pain control, while contributing to decreased patient quadriceps strength (...) and increased fall risk after surgery. The fascia iliaca compartment block is also inferior to local anesthetic injection at the surgery site for pain control. Results of these high-level studies show that routine preoperative use of the fascia iliaca compartment block is not recommended for hip arthroscopy.Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

2019 Arthroscopy

183. Local infiltration analgesia or femoral nerve block for postoperative pain management in patients undergoing total hip arthroplasty. A randomized, double-blind study. (Abstract)

consumption compared to femoral nerve block without causing significant side effects. The superior analgesia in the LIA group may result from the secondary injection at 23h postoperatively and needs to be further evaluated in future studies. No differences were found in home discharge, quality of life and hip dysfunction between the groups.Local infiltration analgesia is the preferred method for postoperative pain management following THA compared to single-shot femoral nerve block.Copyright © 2017 (...) Local infiltration analgesia or femoral nerve block for postoperative pain management in patients undergoing total hip arthroplasty. A randomized, double-blind study. Several methods for pain management following total hip arthroplasty (THA) have been described but the best postoperative pain management technique remains uncertain. We compared surgeon applied local infiltration analgesia (LIA) with anaesthesiologist performed femoral nerve block (FNB) using ultrasound. The primary aim

2019 Scandinavian journal of pain Controlled trial quality: predicted high

184. Local Anesthetic Wound Infiltration after Osteosynthesis of Extracapsular Hip Fracture Does Not Reduce Pain or Opioid Requirements: A Randomized, Placebo-Controlled, Double-Blind Clinical Trial in 49 Patients. Full Text available with Trip Pro

osteosynthesis of extracapsular hip fracture.Forty-nine patients undergoing osteosynthesis with a sliding hip screw were randomized into two groups in a double-blind study (ClinicalTrials.gov:NCT01119209). The patients received intraoperative infiltration followed by 6 postoperative injections through a wound catheter in eight-hour intervals. 23 patients received ropivacaine and 26 received saline. The intervention period was 2 days, and the observation period was 5 days. In both groups, there were (...) Local Anesthetic Wound Infiltration after Osteosynthesis of Extracapsular Hip Fracture Does Not Reduce Pain or Opioid Requirements: A Randomized, Placebo-Controlled, Double-Blind Clinical Trial in 49 Patients. Local infiltration analgesia (LIA) supports early mobilization after hip and knee arthroplasty. Inspired by this, we studied the effectiveness of wound infiltration with the long acting local anesthetic ropivacaine in an effort to decrease the need for postoperative opioids after

2019 Pain research & management Controlled trial quality: uncertain

185. Intra-articular botulinum toxin A (BoNT/A) for pain management in dogs with osteoarthritis secondary to hip dysplasia: a randomized controlled clinical trial. Full Text available with Trip Pro

Intra-articular botulinum toxin A (BoNT/A) for pain management in dogs with osteoarthritis secondary to hip dysplasia: a randomized controlled clinical trial. The aim of this study was to evaluate the efficacy and safety of the intra-articular (IA) injection of botulinum toxin type A (BoNT/A) to the management of chronic pain in dogs. In a randomized, controlled, double-blinded study sixteen dogs with osteoarthritis secondary to hip dysplasia were distributed into two groups: 25 IU BoNT/A (BoNT (...) observed in both groups during 90 days after IA therapy in the owner assessments (P<0.001). Compared with baseline, the Vet score was lower from 15-90 days after IA injection in the BoNT group, and at 15 and 30 days in the Control group (P<0.001). Both treatments were safe and reduced the clinical signs associated with hip osteoarthritis. However, IA BoNT/A (25 IU) did not provide better pain relief than the control treatment.

2019 The Journal of Veterinary Medical Science

186. Paramedics' experiences of administering fascia iliaca compartment block to patients in South Wales with suspected hip fracture at the scene of injury: results of focus groups. Full Text available with Trip Pro

and trained in a feasibility study about an alternative to routine prehospital pain management for patients with suspected hip fracture.11 paramedics.Paramedic-administered FICB to patients with suspected hip fracture. We randomly allocated eligible patients to FICB, a local anaesthetic injection directly into the hip region-or usual care, most commonly morphine - using audited scratch cards.Paramedics' experiences of administering FICB gathered through thematic analysis of interview transcripts by two (...) Paramedics' experiences of administering fascia iliaca compartment block to patients in South Wales with suspected hip fracture at the scene of injury: results of focus groups. To explore paramedics' experience of delivering fascia iliaca compartment block (FICB) to patients with suspected hip fracture at the scene of injury.Focus groups within a randomised controlled trial.Paramedics based at ambulance stations in the catchment area of one Emergency Department in South Wales, recruited

2019 BMJ open Controlled trial quality: uncertain

187. Normative Data of the Hip Disability and Osteoarthritis Outcome Score, JR in a Healthy United States Population. (Abstract)

Normative Data of the Hip Disability and Osteoarthritis Outcome Score, JR in a Healthy United States Population. Patient-reported outcome measures (PROMs) play a vital role in the care we provide our patients. To help understand the application of PROMs in arthroplasty, normative and benchmark data to serve as a comparison to patients presurgery and postsurgery would be extremely valuable. We collected normative data of the Hip Disability and Osteoarthritis Outcome Score (HOOS), JR on a healthy (...) population, greater than 17 years of age, in the United States devoid of hip injury and/or surgery.This is a cross-sectional study, where hard copy surveys were administered to 1140 patients, being seen for an orthopedic issue unrelated to their hip, and nonpatient visitors in July 2018 at an outpatient orthopedic clinic in a suburban metropolitan city. Participants were eligible if they self-reported a medical history negative for hip arthroplasty, current hip pain/disability, or hip procedure (surgery

2019 Journal of Arthroplasty

188. OMERACT Hip Inflammation Magnetic Resonance Imaging Scoring System (HIMRISS) Assessment in Longitudinal Study. (Abstract)

OMERACT Hip Inflammation Magnetic Resonance Imaging Scoring System (HIMRISS) Assessment in Longitudinal Study. To assess reliability, feasibility, and responsiveness of Hip Inflammation Magnetic resonance imaging Scoring System (HIMRISS) for bone marrow lesions (BML) in hip osteoarthritis (OA).HIMRISS was scored by 8 readers in 360 hips of 90 patients imaged pre/post-hip steroid injection. Pre-scoring, new readers trained online to achieve intraclass correlation coefficient (ICC) > 0.80 versus (...) experts.HIMRISS reliability was excellent for BML status (ICC 0.83-0.92). Despite small changes post-injection, reliability of BML change scores was high in femur (0.76-0.81) and moderate in acetabulum (0.42-0.56).HIMRISS should be a priority for further assessment of hip BML in OA, and evaluated for use in other arthropathies.

2019 Journal of Rheumatology

189. Preoperative botulinum neurotoxin A for children with bilateral cerebral palsy undergoing major hip surgery: a randomized double-blind placebo-controlled trial. Full Text available with Trip Pro

either BoNT-A or placebo injections into the muscles of the hip on a single occasion immediately before surgery. The primary outcome was the paediatric pain profile (PPP), which was assessed at baseline and weekly for 6 weeks. Treatment allocation was by minimization. Participants, clinicians, and outcome assessors were masked to group assignment.Twenty-seven participants (17 males, 10 females; mean 8y 8mo [SD 3y 9mo], range 3y 4mo-15y 10mo) were allocated to BoNT-A and 27 participants (14 males, 13 (...) Preoperative botulinum neurotoxin A for children with bilateral cerebral palsy undergoing major hip surgery: a randomized double-blind placebo-controlled trial. To assess whether preoperative botulinum neurotoxin A (BoNT-A) affects pain after major hip surgery for children with bilateral cerebral palsy (CP).This was a randomized, parallel arms, placebo-contolled trial. Children with hypertonic CP aged 2 to 15 years awaiting bony hip surgery at a tertiary hospital were randomized to receive

2019 Developmental Medicine and Child Neurology Controlled trial quality: predicted high

190. Editorial Commentary: Subspine Hip Abnormalities: Exploring the Difference Between "Morphology" and "Impingement". Full Text available with Trip Pro

morphologies and deformities, and in the setting of persistent anterior hip pain after intra-articular anesthetic injections. Dynamic computed tomographic imaging has recently shown subspine impingement even with relatively normal AIIS morphology and in the setting of decreased femoral anteversion. These findings further emphasize the importance of understanding and defining relationships between morphology and impingement. Ultimately, subspine decompressions might be critical to achieve the best possible (...) Editorial Commentary: Subspine Hip Abnormalities: Exploring the Difference Between "Morphology" and "Impingement". Subspine impingement has been increasingly recognized as a source of hip pain over the past 5 to 10 years. Some surgeons routinely perform subspine/anterior inferior iliac spine (AIIS) decompressions, whereas others rarely perform these procedures as part of an arthroscopic hip procedure. Subspine impingement has been implicated with high range-of-motion activities, various AIIS

2019 Arthroscopy

191. Intra-articular Volume Reduction With Arthroscopic Plication for Capsular Laxity of the Hip: A Cadaveric Comparison of Two Surgical Techniques. (Abstract)

Intra-articular Volume Reduction With Arthroscopic Plication for Capsular Laxity of the Hip: A Cadaveric Comparison of Two Surgical Techniques. To compare intracapsular volume reduction between interportal capsular shift and T-capsulotomy plication in a cadaveric model.Twelve pair-matched specimens were randomized into T-capsulotomy plication or interportal capsular shift. T-capsulotomy was performed using a 2-cm interportal and 2-cm bisecting, longitudinal limb to the intertrochanteric line (...) . Plication was performed utilizing 5-mm bites on either side of the capsulotomy with arthroscopic knot tying technique standard alternating half hitches. Pair-matched interportal capsular shift specimens underwent 5-cm interportal capsulotomy, and capsular shift was performed utilizing 5 nonabsorbable sutures placed in 45° orientation at 5 mm from the capsulotomy margin. With each specimen in a position of slight flexion and adduction, a spinal needle was used to inject methylene blue-colored saline

2019 Arthroscopy

192. A Longitudinal Supra-Inguinal Fascia Iliaca Compartment Block Reduces Morphine Consumption After Total Hip Arthroplasty (Abstract)

A Longitudinal Supra-Inguinal Fascia Iliaca Compartment Block Reduces Morphine Consumption After Total Hip Arthroplasty The role of a fascia iliaca compartment block (FICB) for postoperative analgesia after total hip arthroplasty (THA) remains questionable. High-dose local anesthetics and a proximal injection site may be essential for successful analgesia. High-dose local anesthetics may pose a risk for local anesthetic systemic toxicity. We hypothesized that a high-dose longitudinal supra

2017 EvidenceUpdates

193. Safety and Efficacy of IM Injections of PLX-PAD for the Regeneration of Injured Gluteal Musculature After Total Hip Arthroplasty

Safety and Efficacy of IM Injections of PLX-PAD for the Regeneration of Injured Gluteal Musculature After Total Hip Arthroplasty Safety and Efficacy of IM Injections of PLX-PAD for the Regeneration of Injured Gluteal Musculature After Total Hip Arthroplasty - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have (...) reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Safety and Efficacy of IM Injections of PLX-PAD for the Regeneration of Injured Gluteal Musculature After Total Hip Arthroplasty The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01525667 Recruitment

2012 Clinical Trials

194. Analgesia After Total Hip Arthroplasty: Peri-Articular Injection Versus Epidural Patient Controlled Analgesia (PCA)

Analgesia After Total Hip Arthroplasty: Peri-Articular Injection Versus Epidural Patient Controlled Analgesia (PCA) Analgesia After Total Hip Arthroplasty: Peri-Articular Injection Versus Epidural Patient Controlled Analgesia (PCA) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Analgesia After Total Hip Arthroplasty: Peri-Articular Injection Versus Epidural Patient Controlled Analgesia (PCA) (PAI Hip) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01658072 Recruitment Status : Completed First Posted

2012 Clinical Trials

195. Secondary cement injection technique reduces pulmonary embolism in total hip arthroplasty. Full Text available with Trip Pro

Secondary cement injection technique reduces pulmonary embolism in total hip arthroplasty. Cardio-pulmonary damage due to embolism is a feared complication of cemented hip arthroplasty and can be fatal. Embolic events result from an increased intramedullary pressure during cement and stem insertion and can lead to extrusion of bone-marrow elements into the circulation. To reduce embolism and at the same time achieve an ideal cement mantle, the cement injection stem has been designed (...) . In contrast to conventional stems where cement applied before stem insertion (primary cementing technique), the cement injection stem is positioned first and only then is the cement injected via the stem in a volume- and pressure-controlled fashion (secondary cementing technique).A randomised trial with 30 patients was performed to evaluate whether this technique is able to reduce embolic events. Patients either received a conventional cemented stem (primary cementing technique) or a cement injection stem

2012 International orthopaedics Controlled trial quality: uncertain

196. Local Infiltration Analgesia in Hip and Knee Arthroplasty

of analgesics, such as opioids and nonsteroidal anti-inflammatory drugs (NSAIDs), and/or regional anesthetics, such as epidurals and femoral nerve blocks. (1-3) Pain management medications for patients undergoing total knee arthroplasty (TKA) or total hip arthroplasty (THA) can be administered through a number of different modalities such as oral, local injection, or epidural injection. (4) Local infiltration analgesia (LIA) is one such modality of pain management administered as a “cocktail (...) ((Intraarticular or knee* or hip? or intra-articular or periarticular or peri-articular or wound* or joint*) adj2 (injection* or infiltat* or infus* or instill*)).mp. [mp=ti, ab, tx, kw, ct, ot, sh, hw, tn, dm, mf, dv, nm, kf, ps, rs, ui] 18114 20 ((infiltra* or instill* or infus*) adj2 (analgesi* or an?esthesia*or ropivacaine or ketorolac or adrenaline or steroid* or magnesium sulphate or morphine or nonsteroidal anti-inflammatory or nsaid* or opiod* or anti-hyperalgesic* or pregabalin or s-ketamine

2013 Health Quality Ontario

197. A Further Anatomical Check on the Accuracy of Intra-Articular Hip Injections in Relation to the Therapy of Coxarthritis Full Text available with Trip Pro

A Further Anatomical Check on the Accuracy of Intra-Articular Hip Injections in Relation to the Therapy of Coxarthritis 14783363 2004 02 15 2018 12 01 0003-4967 9 3 1950 Sep Annals of the rheumatic diseases Ann. Rheum. Dis. A further anatomical check on the accuracy of intra-articular hip injections in relation to the therapy of coxarthritis. 237-40 DOBSON M M MM eng Journal Article England Ann Rheum Dis 0372355 0003-4967 OM Arthritis Humans Injections, Intra-Articular Osteoarthritis, Hip 5120

1950 Annals of the Rheumatic Diseases

198. Anatomical Considerations in Injection of the Hip Joint Full Text available with Trip Pro

Anatomical Considerations in Injection of the Hip Joint 13198058 2003 05 01 2018 12 01 0003-4967 13 3 1954 Sep Annals of the rheumatic diseases Ann. Rheum. Dis. Anatomical considerations in injection of the hip joint. 246-9 LANDSMEER J M JM KOUMANS A K AK eng Journal Article England Ann Rheum Dis 0372355 0003-4967 OM Hip Hip Joint Humans Injections 5527:9689:219 HIP 1954 9 1 1954 9 1 0 1 1954 9 1 0 0 ppublish 13198058 PMC1006741 J Am Med Assoc. 1951 Dec 22;147(17):1629-35 14880415 Br Med J

1954 Annals of the Rheumatic Diseases

199. Local Injection of Hydrocortisone and Procaine in Osteo-Arthritis of the Hip Joint Full Text available with Trip Pro

Local Injection of Hydrocortisone and Procaine in Osteo-Arthritis of the Hip Joint 13395266 2002 05 01 2018 12 01 0003-4967 15 4 1956 Dec Annals of the rheumatic diseases Ann. Rheum. Dis. Local injection of hydrocortisone and procaine in osteo-arthritis of the hip joint. 330-7 LEVEAUX V M VM QUIN C E CE eng Journal Article England Ann Rheum Dis 0372355 0003-4967 4Z8Y51M438 Procaine WI4X0X7BPJ Hydrocortisone OM Arthritis Disease Hip Hip Joint Humans Hydrocortisone therapeutic use Injections (...) Osteoarthritis therapy Procaine therapeutic use 5731:41875 HIP/diseases HYDROCORTISONE/therapeutic use OSTEOARTHRITIS/therapy PROCAINE/therapeutic use 1956 12 1 1956 12 1 0 1 1956 12 1 0 0 ppublish 13395266 PMC1006905 Ann Rheum Dis. 1952 Dec;11(4):277-81 13017478 J Bone Joint Surg Am. 1953 Oct;35-A(4):983-90 13108900 Ann Rheum Dis. 1954 Sep;13(3):246-9 13198058 Ann Rheum Dis. 1950 Sep;9(3):237-40 14783363 J Am Med Assoc. 1951 Dec 22;147(17):1629-35 14880415

1956 Annals of the Rheumatic Diseases

200. Traumatic Arthritis of the Hip; Relief of Pain by Epidural Injection Full Text available with Trip Pro

Traumatic Arthritis of the Hip; Relief of Pain by Epidural Injection 19990178 2010 06 24 2010 06 24 0035-9157 28 4 1935 Feb Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Traumatic Arthritis of the Hip; Relief of Pain by Epidural Injection. 449-50 Slot G G eng Journal Article England Proc R Soc Med 7505890 0035-9157 2009 12 9 6 0 1935 2 1 0 0 1935 2 1 0 1 ppublish 19990178 PMC2205296

1935 Proceedings of the Royal Society of Medicine

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