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Hip Injection

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181. A Practical Analgesia Approach to Fragility Hip Fracture: A Single Center Retrospective Cohort Study on Femoral Nerve Block. (PubMed)

A Practical Analgesia Approach to Fragility Hip Fracture: A Single Center Retrospective Cohort Study on Femoral Nerve Block. To determine whether an effective opioid-sparing pain control modality is desirable for an aging population.A fragility hip fracture program was recently implemented in our hospital. A retrospective review was performed on 192 patients of various types of fragility hip fractures over 1 year who received a single injection femoral nerve block (FNB) following diagnosis.We (...) observed statistically significant effects of FNB on Visual Analogue Scale (VAS) pain score and the rate of opioid consumption diminution in all commonly encountered types of fragility hip fractures. The pain score reduction by FNB in subcapital femoral neck fracture, transcervical femoral neck facture, and intertrochanteric fracture are all statistically significant, P<0.0001. There was a statistically more significant pain score reduction in intracapsular fractures than extracapsular fractures, P

2018 Journal of Orthopaedic Trauma

182. Ranibizumab injection - Macular edema, secondary to retinal vein occlusion

Ranibizumab injection - Macular edema, secondary to retinal vein occlusion Common Drug Review CDEC Meeting – September 19, 2012 Notice of CDEC Final Recommendation – October 18, 2012 Page 1 of 6 © 2012 CADTH CDEC FINAL RECOMMENDATION RANIBIZUMAB (Lucentis – Novartis Pharmaceuticals Canada Inc.) New Indication: Macular Edema Secondary to Retinal Vein Occlusion Recommendation: The Canadian Drug Expert Committee (CDEC) recommends that ranibizumab be listed for patients meeting both (...) edema secondary to non-ischemic BRVO or CRVO (the BRAVO and CRUISE studies respectively), compared with sham, ranibizumab resulted in statistically significantly greater improvement in best corrected visual acuity at six months. 2. The cost-effectiveness estimates for ranibizumab were sensitive to changes in assumptions regarding the durability of the treatment effect, and the frequency and duration of ranibizumab use. When CDR considered higher numbers of injections, treatment duration beyond two

2012 Canadian Agency for Drugs and Technologies in Health - Common Drug Review

183. What are my options for managing hip or knee osteoarthritis?

What are my options for managing hip or knee osteoarthritis? What are my options for managing hip or knee osteoarthritis? A stepped decision aid to discuss options with your practitioner What is Osteoarthritis? It breaks down the cartilage in a joint. This causes joint pain, stiffness and swelling. It limits people from doing what they want and need to do. Usually the symptoms come on slowly, but get worse over time. There is no cure but symptoms can be controlled. How is osteoarthritis (...) ? Non-steroidal creams (NSAID) such as Pennsaid® lotion ? Insoles ? Joint injection with steroid or viscosupplement Level 3 ? NSAID pills such as Advil Level 4 ? Opioid (narcotic) painkillers such as oxycontin, oxycodone, morphine, demerol Level 5 ? See a surgeon about joint replacement List other things you have tried: ___ How often have you followed your current plan during the past week? (Circle the best answer) I followed my exercise program 0 days 1-2 days 3-4 days 5-6 days 7 days Does

2014 Clinical Oncology Society of Australia

184. Options for managing hips or knee osteoarthritis

Options for managing hips or knee osteoarthritis Boîte à décision | Pdf boxe Back to the Decision boxes × My account Creating an account and signing in will allow you to keep your Decision box results and view them later. I do not have an account Provide some personal information and create a user account allowing to save your Decision box results and view them later. You can also: I already have an account Please enter your email address and password to access your profile and consult your (...) decision boxes. Email Password Stay logged in: Back to the Decision boxes × My account Creating an account and signing in will allow you to keep your Decision box results and view them later. Create an account Title Full Name Email * Choose a username Password * Please enter a password Repeat Password * Both passwords do not fit Options for managing hips or knee osteoarthritis Options for managing hips or knee osteoarthritis Options for managing hips or knee osteoarthritis To know more, see the PDF

2014 Cancer Council Australia

185. E-edition: Hip and groin pain

tests to diagnose MRI-confirmed gluteal tendinopathy in patients presenting with lateral hip pain Alison Grimaldi, Rebecca Mellor, Phillipa Nicolson, et al. Republished from BMJ – Original Research – Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial Rebecca Mellor, Kim Bennell, Alison Grimaldi, et al. PODCAST – Dr Alison Grimaldi on managing gluteal (...) E-edition: Hip and groin pain E-edition: Hip and groin pain | BJSM blog - social media's leading SEM voice by 2018 saw us introduce the e-editions of BJSM, focused on and . In 2019, we will continue to draw upon the high-quality content available across our BJSM and BMJ platforms to make sure our readers are up to date with the latest from sport and exercise medicine research. We will also link to external articles of interest to provide a well-rounded overview of the chosen topic. We support

2019 British Journal of Sports Medicine Blog

186. The Non-Surgical Management of Hip & Knee Osteoarthritis (OA)

. Patient Education 22 B2. Comprehensive Management Plan 22 B3. Weight Reduction in Patients with Knee or Hip Osteoarthritis and Elevated BMI 24 Module C: Physical Therapy Approaches 26 C1. Manual Physical Therapy 26 C2. Aquatic Therapy 26 C3. Walking Aids 28 Module D: Pharmacologic Therapies 30 D1. Acetaminophen and Non-steroidal Anti-inflammatory Drugs 30 D2. Topical Capsaicin 36 D3. Other Pain Management Pharmacotherapies 38 D4. Intra-articular Injections (Corticosteroids and Hyaluronic Acid) 40 (...) Hip History 88 Hip Physical Examination 88 Appendix D: Pharmacologic Therapies 89 Tramadol 89 Non-Tramadol Opioids 92 Corticosteroids versus Placebo 93 Hyaluronate/Hylan (HA) 94 Corticosteroids versus Hyaluronate/Hylan 96 Corticosteroid Injection prior to Hip or Knee Arthroplasty 97 Appendix E: Nutraceuticals and Dietary Supplements 103 Appendix F: Participants List 108 Appendix G: References 110 Page 5 of 126 Clinical Practice Guideline for the Non-Surgical Management of Osteoarthritis Executive

2014 VA/DoD Clinical Practice Guidelines

187. Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age i DETECTION AND NONOPERATIVE MANAGEMENT OF PEDIATRIC DEVELOPMENTAL DYSPLASIA OF THE HIP IN INFANTS UP TO SIX MONTHS OF AGE EVIDENCE-BASED CLINICAL PRACTICE GUIDELINE Adopted by the American Academy of Orthopaedic Surgeons Board of Directors September 5, 2014 This guideline has been endorsed by the following organizations: ii Disclaimer This Clinical Practice Guideline (...) of Orthopaedic Surgeons iii I. SUMMARY OF RECOMMENDATIONS The following is a summary of the recommendations of the AAOS’ clinical practice guideline on Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants up to Six Months of Age. All readers of this summary are strongly urged to consult the full guideline and evidence report for this information. We are confident that those who read the full guideline and evidence report will see that the recommendations were

2014 American Academy of Orthopaedic Surgeons

188. Management of Hip Fractures in the Elderly

Management of Hip Fractures in the Elderly MANAGEMENT OF HIP FRACTURES IN THE ELDERLY EVIDENCE- BASED CLINICAL PRACTICE GUIDELINE Adopted by the American Academy of Orthopaedic Surgeons Board of Directors September 5, 2014 This Guideline has been endorsed by the following organizations: 2 Disclaimer This Clinical Practice Guideline was developed by an AAOS physician volunteer Work Group based on a systematic review of the current scientific and clinical information and accepted approaches (...) in a retrieval system, or transmitted, in any form, or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the AAOS. Published 2014 by the American Academy of Orthopaedic Surgeons 6300 North River Road Rosemont, IL 60018 First Edition Copyright 2014 by the American Academy of Orthopaedic Surgeons 3 I. SUMMARY OF RECOMMENDATIONS The following is a summary of the recommendations of the AAOS Clinical Practice Guideline on the Management of Hip

2014 American Academy of Orthopaedic Surgeons

189. Hip pain in young adults

examination. They may also be asked to complete a validated hip score questionnaire to quantify their symptoms and monitor changes over time and treatment response. The specialist may use more detailed imaging techniques, such as magnetic resonance arthrography (MRA) and 3-dimensional CT, to diagnose soft tissue and bony pathology and to plan treatment. When the diagnosis remains unclear or when multiple pathologies are suspected, a diagnostic intra-articular injection of local anaesthetic may be used (...) of Patients With Clinical Indications of Prearthritic, Intra-articular Hip Disorders. PM R 2012;4:479–87. 26. Voos JE, Rudzki JR, Shindle MK, Martin H, Kelly BT. Arthroscopic anatomy and surgical techniques for peri- trochanteric space disorders in the hip. Arthroscopy 2007;23:1246.e1–5. 27. Cohen SP , Strassels SA, Foster L, et al. Comparison of fluoroscopically guided and blind corticosteroid injections for greater trochanteric pain syndrome: multicentre randomised controlled trial. BMJ 2009;338:b1088

2014 Clinical Practice Guidelines Portal

190. Therapeutic hip injections: is the injection volume important? (PubMed)

Therapeutic hip injections: is the injection volume important? To assess whether an increased volume of local anaesthetic injection given with intra-articular steroids improves symptom relief in osteoarthritis of the hip.One hundred and ten patients with hip osteoarthritis were randomized into two groups (A and B). All patients were given 40 mg triamcinolone and 2 ml bupivicaine, and patients from group B were also given 6 ml of sterile water for injection. Change in WOMAC (Western Ontario (...) between the two groups at 3 months. There was also no statistical difference in pain symptoms between the two groups during the study period, measured at 2 weekly intervals. One hundred and two patients reached the study endpoint; eight patients who had bilateral hip injections were subsequently included in the analysis, and these patients did not alter the findings significantly.Published total injection volumes used for treating osteoarthritis of the hip with intra-articular steroids vary from 3

2012 Clinical radiology Controlled trial quality: uncertain

191. Glucocorticoid injections for greater trochanteric pain syndrome: a randomised double-blind placebo-controlled (GLUTEAL) trial. (PubMed)

2011 and May 2015. Inclusion criteria included lateral hip pain (LHP) for greater than 1 month, a LHP score of ≥ 4/10 and typical LHP reproduced by palpation of the greater trochanter. Participants were randomised in a 1:1 ratio to injection with a combination of local anaesthetic and GC (intervention) or injection with normal saline solution (placebo). The primary outcome of interest was the difference in pain intensity at 4 weeks post-injection between the two groups. Patients were followed for 6 (...) Glucocorticoid injections for greater trochanteric pain syndrome: a randomised double-blind placebo-controlled (GLUTEAL) trial. Small observational studies suggest that local glucocorticoid (GC) injection may be effective in the management of the greater trochanteric pain syndrome (GTPS). The objective was to perform the first randomised double-blind placebo-controlled trial to investigate the efficacy of local GC injection in the management of GTPS. The trial was conducted between November

2018 Clinical rheumatology Controlled trial quality: predicted high

192. A Randomized Controlled Trial of Ultrasound-guided Platelet-Rich-Plasma (PRP) Injection Versus Extracorporeal Shock Wave Therapy (ESWT) for Great Trochanter Pain Syndrome (GTPS) With Gluteus Medius or Minimus Tendinopathy

: Platelet-Rich Plasma Injection Device: Extracorporeal Shock Wave Therapy Early Phase 1 Detailed Description: The purpose of this study is to compare the efficacy of ultrasound-guided platelet-rich plasma (PRP) injection versus extracorporeal shock wave therapy for management of refractory Greater Trochanteric Pain Syndrome (GTPS). GTPS is a common cause of extra-articular lateral hip pain which occurs in up to 10- 25% of the population, and is a common presenting complaint to primary care and Sports (...) structures. Evidence of concomitant injury to the involved lower extremity, including radiculopathy or radiculitis, piriformis syndrome, ischial tuberosity avulsion History of prior steroid injection and Orthobiologic injection or surgery to the involved lower extremity f. Any inflammatory or neoplastic disorder g. Blood coagulation disorders or use of antiplatelet or anticoagulant drugs h. Severe knee or hip osteoarthritis i. Patients with symptoms of more than 6 months' duration were not considered

2018 Clinical Trials

193. A Study Evaluating the Safety, Tolerability and Efficacy of Two Injections of SM04690 for the Treatment of Moderately to Severely Symptomatic Knee Osteoarthritis

A Study Evaluating the Safety, Tolerability and Efficacy of Two Injections of SM04690 for the Treatment of Moderately to Severely Symptomatic Knee Osteoarthritis A Study Evaluating the Safety, Tolerability and Efficacy of Two Injections of SM04690 for the Treatment of Moderately to Severely Symptomatic Knee Osteoarthritis - 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. A Study Evaluating the Safety, Tolerability and Efficacy of Two Injections of SM04690 for the Treatment of Moderately to Severely Symptomatic Knee Osteoarthritis 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

2018 Clinical Trials

194. Intraarticular Glucose Versus Hyaluronic Acid Injection for Knee Osteoarthrosis

Intraarticular Glucose Versus Hyaluronic Acid Injection for Knee Osteoarthrosis Intraarticular Glucose Versus Hyaluronic Acid Injection for Knee Osteoarthrosis - 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 (...) . Intraarticular Glucose Versus Hyaluronic Acid Injection for Knee Osteoarthrosis 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03690232 Recruitment Status : Recruiting First Posted : October 1, 2018 Last Update Posted : October

2018 Clinical Trials

195. Existing Evidence on Ultrasound-Guided Injections in Sports Medicine (Full text)

, and foot have superior efficacy to landmark-guided injections. Conclusive evidence is not available regarding improved efficacy of ultrasound-guided injections of the hip, although landmark-guided injection is performed less commonly at the hip joint. Ultrasound-guided injections are overall more accurate than landmark-guided injections. While current studies indicate that ultrasound guidance improves efficacy and cost-effectiveness of many injections, these studies are limited and more research (...) Existing Evidence on Ultrasound-Guided Injections in Sports Medicine Office-based ultrasonography has become increasingly available in many settings, and its use to guide joint and soft tissue injections has increased. Numerous studies have been conducted to evaluate the use of ultrasound-guided injections over traditional landmark-guided injections, with a rapid growth in the literature over the past few years. A comprehensive review of the literature was conducted to demonstrate increased

2018 Orthopaedic journal of sports medicine

196. Corticosteroid Injection for an Orthopedic Complaint in a Female with Gestational Diabetes (Full text)

Corticosteroid Injection for an Orthopedic Complaint in a Female with Gestational Diabetes A female with gestational diabetes presented with hip pain characteristic of meralgia paresthetica and trochanteric bursitis. She had similar episodes prior to pregnancy that were treated successfully with non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroid injections. However, NSAID use during pregnancy poses risks to the fetus and corticosteroids carry a risk of hyperglycemia, especially (...) in those with diabetes. Unfortunately, all attempts made to treat her conservatively failed to improve her symptoms. The use of antenatal corticosteroids as an intervention for preterm labor has been documented, but to our knowledge, there are no published reports of corticosteroid injections for orthopedic complaints in someone with gestational diabetes. Review of her glucose log showed well-controlled levels, and subsequently, a corticosteroid injection was administered. Blood glucose levels were

2018 Sports medicine - open

197. Comparison of Single Intra-articular Injection of Hyruan-One With Hylan G-F 20 in Knee Osteoarthritis

conservative treatment at least 3 months Kellgren-Lawrence grade I-III Gave informed consent Can do questionnaires Exclusion Criteria: Severe deformity (varus or values from mechanical axis more than 5 degrees Allergy to hyaluronic acid Pain on hip or ankle Post-traumatic or post surgery of lower extremity Post infection of knee Previous hyaluronic acid injection within 6 months Pregnancy or lactation Underlying Rheumatoid arthritis, stroke, malignancy, venous occlusion Contacts and Locations Go (...) Comparison of Single Intra-articular Injection of Hyruan-One With Hylan G-F 20 in Knee Osteoarthritis Comparison of Single Intra-articular Injection of Hyruan-One With Hylan G-F 20 in Knee Osteoarthritis - 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

2018 Clinical Trials

198. Osteoarthritis Shoulder Injection Study

a patient-specific duration that often provide relief for a month before the effects begin to taper with most individuals returning to baseline by 2-3 months post injection. Unfortunately, data on intraarticular injections is not robust and primarily focused on hip, knee, and disease processes rather than the glenohumeral joint. For example, steroid concentrations have been studied in adhesive capsulitis, where 20 and 40mg of triamcinolone acenotide were used with no statistical significance between (...) Osteoarthritis Shoulder Injection Study Osteoarthritis Shoulder Injection Study - 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. Osteoarthritis Shoulder Injection Study The safety and scientific validity

2018 Clinical Trials

199. Segmental Spinal Myoclonus Complicating Lumbar Transforaminal Epidural Steroid Injection. (PubMed)

to diagnostic selective nerve root injection with local anesthetic at the right L3 and L4 levels, lumbar transforaminal epidural steroid injection at the same levels was scheduled. During injection of ropivacaine and triamcinolone at the right L3-4 intervertebral foramen, she complained of back pain and immediately developed involuntary contraction of her right hip. The procedure was terminated. No new neurological deficit was detected when she was examined 15 minutes after the procedure. There were (...) Segmental Spinal Myoclonus Complicating Lumbar Transforaminal Epidural Steroid Injection. Lumbar transforaminal epidural steroid injection is commonly used for treating lumbar radicular pain. We report a case of segmental spinal myoclonus that developed during lumbar transforaminal epidural injection with local anesthetic and steroid.A 58-year-old woman with failed back surgery syndrome presented with low back and right L3 and L4 radicular pain. As she had responded well previously

2018 Regional Anesthesia and Pain Medicine

200. Efficacy of using an air arthrogram for EUA and injection of the hip joint in adults (Full text)

Efficacy of using an air arthrogram for EUA and injection of the hip joint in adults Hip arthrography usually requires the injection of iodine based dyes which can cause complications. We wanted to determine the accuracy of using air for hip arthrography.A prospective study was undertaken including all adults who had a hip arthrogram. We initially did an air arthrogram and subsequently injected iohexol to see if we were still in the joint.Forty injections were done. Mean age 32 years (...) . There was a 100% success rate with obtaining a positive air arthrogram.Air arthrogram of the hip offers a safe, cost free and accurate alternative to iodine based arthrograms.

2014 Journal of orthopaedics

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