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Hip Injection

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3941. Intraarticular corticosteroid injection: pain relief in osteoarthritis of the hip? (Abstract)

Intraarticular corticosteroid injection: pain relief in osteoarthritis of the hip? Osteoarthritis (OA) is one of the most common causes of morbidity in the elderly population, and surgery is often preceded by years of pain and disability. Intraarticular corticosteroid injections in osteoarthritic joints may play a role in the therapeutic plan and can afford quick pain relief but do not alter the underlying disease. There is a paucity of well controlled studies that provide recommendations (...) for the use of corticosteroids in OA of the hip.A prospective analysis of 80 patients with OA of the hip and pain at rest and on bearing weight for more than 4 weeks was performed. Patients were randomized into 2 groups; group 1 (n = 40) received corticosteroid (80 mg triamcinolone acetonide) and group 2 (n = 40) local anesthetic (1% mepivacaine), injected into the hip joint under fluoroscopy. Pain, functional ability, range of motion of the joint, and analgesics consumed were registered 3 weeks

2004 The Journal of rheumatology Controlled trial quality: uncertain

3942. Postoperative analgesia after total-hip arthroplasty: Comparison of intravenous patient-controlled analgesia with morphine and single injection of femoral nerve or psoas compartment block. a prospective, randomized, double-blind study. (Abstract)

Postoperative analgesia after total-hip arthroplasty: Comparison of intravenous patient-controlled analgesia with morphine and single injection of femoral nerve or psoas compartment block. a prospective, randomized, double-blind study. The authors compared the analgesic effects and quality of rehabilitation of three analgesic techniques after total-hip arthroplasty in a double-blind, randomized trial.Forty-five patients were assigned to 1 of 3 groups, patient-controlled analgesia with morphine (...) patients of the PCB group, an epidural diffusion was noted. Hip mobility and length of stay in the rehabilitation center were not different among the groups.PCA is an efficient and safe analgesia technique. FNB and PCB should not be used routinely after total-hip arthroplasty.

2004 Regional Anesthesia and Pain Medicine Controlled trial quality: predicted high

3943. Controlling pain after total hip and knee arthroplasty using a multimodal protocol with local periarticular injections: a prospective randomized study. (Abstract)

Controlling pain after total hip and knee arthroplasty using a multimodal protocol with local periarticular injections: a prospective randomized study. In this prospective randomized study, patients undergoing total hip (THA) or knee arthroplasty (TKA) were randomized to either a study group receiving periarticular injections or a control group receiving patient-controlled analgesia with or without femoral nerve block (TKA patients). All patients received a comprehensive multimodal (...) perioperative protocol. Pain, recovery of functional milestones, and overall satisfaction were assessed. The THA study group demonstrated significantly lower average pain scores and higher overall satisfaction than the control group. There was no significant difference in pain scores between the study and control groups in the TKA cohort. Both study groups demonstrated lower narcotic usage and side effects as well as improved early functional recovery. Periarticular injection with a multimodal protocol

2007 Journal of Arthroplasty Controlled trial quality: uncertain

3944. [Observation of the efficacy of local multimodal analgesic drugs injection in total hip arthroplasty]. (Abstract)

[Observation of the efficacy of local multimodal analgesic drugs injection in total hip arthroplasty]. To study the efficacy of periarticular multimodal analgesic drugs injection in total hip arthroplasty.Seventy-six patients undergoing total hip arthroplasty were randomly divided into two groups, 38 patients received periarticular intraoperative injection of multimodal analgesic drugs, and others not do. Pain of patients were evaluated with a visual analog scale postoperatively, and all (...) . No adverse effects resulted from the multimodal analgesic drugs were noted in the injected group.Periarticular injection of multimodal analgesic drugs in total hip arthroplasty can significantly reduce the postoperative pain of patients and the consumption of patient-controlled analgesia.

2008 Zhongguo gu shang = China journal of orthopaedics and traumatology Controlled trial quality: uncertain

3945. Spinal anesthesia using single injection small-dose bupivacaine versus continuous catheter injection techniques for surgical repair of hip fracture in elderly patients. Full Text available with Trip Pro

Spinal anesthesia using single injection small-dose bupivacaine versus continuous catheter injection techniques for surgical repair of hip fracture in elderly patients. Aging and disease may make elderly patients particularly susceptible to hypotension during spinal anesthesia. We compared the hemodynamic effect of continuous spinal anesthesia (CSA) and small dose single injection spinal anesthesia (SA) regarding the incidence of hypotension. Seventy-four patients aged >75 yr undergoing (...) surgical repair of hip fracture were randomized into 2 groups of 37 patients each. Group CSA received a continuous spinal anesthetic with a titration of 2.5 mg boluses every 15 min of isobaric bupivacaine, while group SA received a single injection spinal anesthetic with 7.5 mg of isobaric bupivacaine. The overall variations in noninvasive automated arterial blood pressure were not statistically significantly different in the 2 groups at baseline and after CSA or SA (not significant). In the SA group

2006 Anesthesia and analgesia Controlled trial quality: uncertain

3946. Radiographic patterns and response to corticosteroid hip injection Full Text available with Trip Pro

Radiographic patterns and response to corticosteroid hip injection A prospective, open study of corticosteroid hip injection (CHI) was performed to determine if different radiological patterns of arthritis vary in their response.Forty five patients (15 with rheumatoid arthritis, 27 with osteoarthritis, and three with anklyosing spondylitis) underwent hip injection with 80 mg methylprednisolone and lignocaine under x ray control. Outcome was assessed at two, 12, and 26 weeks for pain, range (...) of hip movement, and graded functional questionnaire. Patients estimated their pain in four components, night pain, rest pain, weight bearing, and referred pain, each measured by 10 cm visual analogue score and summed to give a total score out of 40 cm. Hip radiographs were evaluated blindly for pattern and severity of arthritis, as well as for progression between 0 and 26 weeks.Median total pain score decreased from 29 cm at baseline to 22 cm at two weeks (p = 0.0001), 24 cm at 12 weeks (p = 0.03

1997 Annals of the Rheumatic Diseases

3947. Intra-articular injection for pain relief in patients awaiting hip replacement. Full Text available with Trip Pro

Intra-articular injection for pain relief in patients awaiting hip replacement. A double blind randomised trial was carried out to ascertain whether intra-articular injections of saline, bupivacaine or bupivacaine plus triamcinolone would be of value in the relief of hip pain suffered by patients awaiting total hip replacement for osteoarthritis. The majority of patients had good pain relief for 1 month but in general this was not maintained and some patients were much worse after the injection.

1988 Annals of the Royal College of Surgeons of England Controlled trial quality: uncertain

3948. Effect of injection rate on sensory level and duration of hypobaric bupivacaine spinal anesthesia for total hip arthroplasty. (Abstract)

Effect of injection rate on sensory level and duration of hypobaric bupivacaine spinal anesthesia for total hip arthroplasty. We prospectively studied 18 male patients undergoing total hip arthroplasty in the lateral decubitus position to determine the effect of injection rate on sensory level and duration of 0.3% hypobaric bupivacaine spinal anesthesia. Patients were randomized into one of two groups according to rate of injection. Dural puncture was performed in the midline at the L3-4 (...) interspace with a 22-gauge needle, with the patient in the lateral decubitus position (operative side uppermost). Local anesthetic solution in all patients was composed of 2 mL 0.75% bupivacaine, 0.2 mg epinephrine (1:1000), and 2.8 mL sterile water, resulting in 5 mL 0.3% bupivacaine. Injection of the solution was performed by an electrically driven pump at one of two calibrated rates: 0.5 mL/s (fast) and 0.02 mL/s (slow). Segmental spread of analgesia was determined by pinprick in the anterior axillary

1994 Anesthesia and analgesia Controlled trial quality: uncertain

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