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Hip Injection

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21. Short-Term Outcomes of Treatment of Hip Osteoarthritis With 4 Bone Marrow Concentrate Injections: A Case Series Full Text available with Trip Pro

Short-Term Outcomes of Treatment of Hip Osteoarthritis With 4 Bone Marrow Concentrate Injections: A Case Series The use of mesenchymal stem cells from bone marrow concentrate (BMC) has become an increasingly popular option as an alternative to total joint replacement. Although there is evidence to support the use of BMC injections to improve quality of life for patients with knee osteoarthritis (OA), there is limited evidence to support its use in patients with hip OA. This case series provides (...) the short-term outcomes of 4 hip OA patients who each underwent 4 BMC injections. On average, the last follow-up was administered 3.5 months after the first injection. The results show that patients experienced decreased resting and active pain compared with baseline and mean 72.4% total overall improvement. Patients also reported less difficulty in performing daily activities following the procedure. These encouraging results warrant further research to better understand the effects of BMC injections

2018 Clinical medicine insights. Case reports

22. A Vascular Obstacle in Ultrasound-Guided Hip Joint Injection Full Text available with Trip Pro

A Vascular Obstacle in Ultrasound-Guided Hip Joint Injection We evaluated the risk of lateral circumflex femoral artery (LCFA) injury during ultrasound-guided intra-articular hip injections.This study was divided into three parts. (1) Four ultrasound-guided hip injections were performed on human cadavers. With needles in place, tissues were dissected to expose the LCFA. (2) Ultrasound-trained rheumatologists marked a planned needle trajectory from skin to hip joint on live human ultrasound (...) images during an Observed Structured Clinical Examination (OSCE). Doppler was subsequently activated to locate the LCFA, and the distance between trajectory and arterial signal was recorded. (3) Rheumatologists certified in musculoskeletal ultrasound were surveyed about joint injection vascular complications.(1) In one of the four cadaveric dissections, the needle made direct contact with the LCFA. (2) Of 27 OSCE participants, only two activated Doppler before marking simulated hip injection

2018 Journal of medical ultrasound

23. Association of rapidly destructive osteoarthritis of the hip with intra-articular steroid injections Full Text available with Trip Pro

Association of rapidly destructive osteoarthritis of the hip with intra-articular steroid injections To assess the relationship between rapidly destructive osteoarthritis (RDOA) of the hip and intra-articular steroid injections.Coding records from 2000 to 2013 were used to identify all subjects who had a fluoroscopy-guided intra-articular hip injection to treat pain associated with primary osteoarthritis. Radiographic measurements from preinjection and postinjection imaging were evaluated (...) with Luquesne's classification of RDOA to determine diagnosis (greater than 50% joint space narrowing or greater than 2 mm of cartilage loss in 1 year with no other forms of destructive arthropathy). Demographic information, health characteristics, and number of injections were collected and analyzed as other potential explanatory variables. Patient outcome assessed by need for total hip arthroplasty (THA) after injection was also recorded.One hundred twenty-nine injection events met the inclusion criteria

2018 Arthroplasty today

24. Spread of injectate around hip articular sensory branches of the femoral nerve in cadavers. (Abstract)

Spread of injectate around hip articular sensory branches of the femoral nerve in cadavers. Anatomical knowledge dictates that regional anaesthesia after total hip arthroplasty requires blockade of the hip articular branches of the femoral and obturator nerves. A direct femoral nerve block increases the risk of fall and impedes mobilisation. We propose a selective nerve block of the hip articular branches of the femoral nerve by an ultrasound-guided injection in the plane between the iliopsoas (...) muscle and the iliofemoral ligament (the iliopsoas plane). The aim of this study was to assess whether dye injected in the iliopsoas plane spreads to all hip articular branches of the femoral nerve.Fifteen cadaver sides were injected with 5 mL dye in the iliopsoas plane guided by ultrasound. Dissection was performed to verify the spread of injectate around the hip articular branches of the femoral nerve.In 10 dissections (67% [95% confidence interval: 38-88%]), the injectate was contained

2018 Acta Anaesthesiologica Scandinavica

25. Rapid destructive osteoarthritis of the hip after intra-articular steroid injection Full Text available with Trip Pro

Rapid destructive osteoarthritis of the hip after intra-articular steroid injection Rapid destructive osteoarthritis of the hip is a separate entity different from the usual osteoarthritis. It is usually seen in elderly women, and the characteristic feature is the rapid progression within 6 to 12 months to complete destruction of the joint. The exact etiology is not known. We present a rare case of rapid destructive osteoarthritis of the hip in a 62-year-old woman who developed it within 2 (...) months of intra-articular steroid injection, which was managed well with uncemented total hip arthroplasty. Through this report, we emphasize the possibility of the disastrous complication of injection, which should be informed to the patient before any intra-articular injection.

2018 Arthroplasty today

26. Intra-Articular Tranexamic Acid Injection During the Hip Hemi-Arthroplasty in Elderly Patients: A Retrospective Study Full Text available with Trip Pro

Intra-Articular Tranexamic Acid Injection During the Hip Hemi-Arthroplasty in Elderly Patients: A Retrospective Study The objective was to evaluate the safety and efficacy of intra-articular injection of tranexamic acid (TXA) in patients between 80 and 100 years of age with femoral neck fracture undergoing hip hemi-arthroplasty (HA).We conducted a retrospective review to assess perioperative blood loss and transfusion rate after intra-articular injection of TXA during HA. This was a single (...) -center, retrospective, single-surgeon, and standard care cohort study covering the period between January and December 2016. One hundred three consecutive patients undergoing HA under spinal or general anesthesia were included. Fifty-four and 49 patients received and did not receive intra-articular injection of TXA during the HA, respectively. After closing the capsule, 50 mL of a TXA solution at a concentration of 1 g/100 mL of saline was injected into joint capsule. We compared the following

2018 Geriatric orthopaedic surgery & rehabilitation

27. In adults with ankle osteoarthritis (OA) is conservative management (excluding injections)/rehabilitation/exercise better than no treatment for pain/swelling/quality of lifte/function/delaying or preventing surgery?

In adults with ankle osteoarthritis (OA) is conservative management (excluding injections)/rehabilitation/exercise better than no treatment for pain/swelling/quality of lifte/function/delaying or preventing surgery? Getting Evidence into Clinical Practice: Musculoskeletal Research Facilitation Group (CAT Group) Date: October 2018 CAT Lead: Ben Lannie Date CAT completed: October 2018 Email: maddocksclinic@btconnect.com Date CAT to be reviewed: October 2020 Specific Question: In adults with ankle (...) osteoarthritis (OA) is conservative management (excluding injections) / rehabilitation / exercise better than no treatment for pain / swelling / quality of life / function / delaying or preventing surgery? Clinical Bottom Line There is no published literature to answer the specific question Due to the lack of clear evidence for benefits and harms of conservative management for adults with ankle OA, it would be sensible to recommend audits of current clinical practice within local/regional services/pathways

2018 Public Health England

28. Intermittent cortisone injection for treatment of osteoarthritis and chronic obstructive lung disease

glucocorticoid injections in patients with very early inflammatory polyarthritis: results of the STIVEA trial. In: Annals of the rheumatic diseases; 2010. p 503-9. Dorleijn DM, Luijsterburg PA, Reijman M, Kloppenburg M, Verhaar JA, Bindels PJ, et al. Intramuscular corticosteroid injection versus placebo effective in pain reduction in patients with hip osteoarthritis. Osteoarthritis and Cartilage 2016;24 SUPPL. 1:183-5. Eiser N, Phillips C, Wooler P, Partridge M. Comparison of oral and depot intra-muscular (...) Intermittent cortisone injection for treatment of osteoarthritis and chronic obstructive lung disease Upprepad intramuskulär injektion med kortison för att behandla artros och kroniskt obstruktiv lungsjukdom Vi använder cookies för att optimera webbplatsen på bästa sätt. Om du fortsätter innebär det att du accepterar att cookies används. Statens beredning för medicinsk och social utvärdering Upprepad intramuskulär injektion med kortison för att behandla artros och kroniskt obstruktiv

2017 Swedish Council on Technology Assessement

29. Treatment of trochanteric bursitis, great trochanter pain syndrome (GTPS), with local cortisone injection

cortisone injection Share: Reading time approx. 1 minute The clinical diagnosis great trochanter pain syndrome (GTPS) is characterised by pain and tenderness on palpation in adherence to the greater trochanter of the hip (trochanter major). The condition was previously titled trochanteric bursitis. The greater trochanter of the hip is a projection of the upper part of the femur and can be felt under the skin on the outside of the hip. GTPS can have a large effect on the daily life and quality of life (...) Treatment of trochanteric bursitis, great trochanter pain syndrome (GTPS), with local cortisone injection Treatment of trochanteric bursitis, great trochanter pain syndrome (GTPS), with local cortisone injection We use cookies on this website. By using this site, you agree that we may store and access cookies on your device. Swedish Agency for Health Technology Assessment and Assessment of Social Services Treatment of trochanteric bursitis, great trochanter pain syndrome (GTPS), with local

2017 Swedish Council on Technology Assessement

30. Comparison of Two Injection Techniques for Intra-articular Hip Injections. Full Text available with Trip Pro

Comparison of Two Injection Techniques for Intra-articular Hip Injections. Intra-articular hip joint injections have traditionally relied on the use of image guidance to confirm intra-articular needle placement. Musculoskeletal ultrasound (US) has emerged as a popular tool to aid the clinician in performing intra-articular hip injections. Modern automated injection delivery systems are commercially available and may offer the potential to optimize clinical efficiency while limiting procedural (...) morbidity. The purpose of this study was to compare patient-reported outcomes and clinical efficiency between two US-guided intra-articular hip injection techniques. The hypothesis was that the use of an automated delivery system for US-guided intra-articular hip joint injections would show superiority in clinical efficiency over traditional syringe injections.This study was a level 1 randomized prospective postmarket clinical evaluation. Forty patients were randomly assigned to undergo a single intra

2017 Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine Controlled trial quality: uncertain

31. Multiple Hip Intra-Articular Steroid Injections Increase Risk of Periprosthetic Joint Infection Compared With Single Injections. (Abstract)

Multiple Hip Intra-Articular Steroid Injections Increase Risk of Periprosthetic Joint Infection Compared With Single Injections. Patients with hip osteoarthritis often temporize their symptoms with multiple intra-articular steroid hip injections (IASHIs) before undergoing total hip arthroplasty (THA). Although there is recent evidence to suggest that IASHI can lead to an increased risk of future periprosthetic joint infection (PJI), the potential increase in risk of PJI after multiple IASHIs (...) compared with single IASHI remains largely unknown. The aim of the study was to evaluate whether multiple IASHIs are associated with increased risk of PJI compared with single IASHI in THA patients.We evaluated 2 cohorts of patients consisting of 106 patients who received 2 or more IASHI in the year before THA and a matched group of 350 patients who received one IASHI in the 12 months before THA.The single and multiply-injected patient cohorts had an infection rate of 2.0% and 6.6% (7/350 and 7/106

2017 Journal of Arthroplasty

32. Periarticular Injections in Knee and Hip Arthroplasty: Where and What to Inject. (Abstract)

Periarticular Injections in Knee and Hip Arthroplasty: Where and What to Inject. Periarticular injections have become a valuable adjunct to multimodal pain control regimens after knee and hip arthroplasties. Injection techniques vary greatly among surgeons with little standardization of practice.We performed an extensive literature search to determine where nociceptive pain fibers are located in the hip and the knee and also to explore the pharmacology of periarticular cocktail (...) ingredients.Large concentrations of nociceptors are present throughout the various tissues of the knee joint with elevated concentrations in the infrapatellar fat pad, fibrous capsule, ligament insertions, periosteum, subchondral bone, and lateral retinaculum. Less empiric evidence is available on nociceptor locations in the hip joint, but they are known to be located diffusely throughout the hip capsule with elevated concentrations at the labral base and central ligamentum teres. Local anesthetics are the base

2017 Journal of Arthroplasty

33. Preoperative Hip Injections Increase the Rate of Periprosthetic Infection After Total Hip Arthroplasty (Abstract)

Preoperative Hip Injections Increase the Rate of Periprosthetic Infection After Total Hip Arthroplasty Intraarticular injections are both diagnostic and therapeutic for patients with osteoarthritis. A potential risk of periprosthetic joint infection (PJI) after total hip arthroplasty (THA) may occur from direct inoculation and/or immune suppression by corticosteroids. Large population-level databases were used to evaluate hip injection on the 1-year rate of PJI in patients undergoing primary (...) : 1395 (1.1%) of patients after 6-12 months, 1863 patients after 3-6 months, and 2163 (1.2%) after 0-3 months. In the 0-3 month group, PJI was significantly increased at 3 months (1.58%, P = .015), 6 months (1.76%, P = .022), and 1 year (2.04%, P = .031) compared with the noninjection control group (1.04%, 1.21%, and 1.47%, respectively). There were no differences in the 3- to 6-month and 6- to 12-month injection groups.There is an increased risk of PJI when THA is performed within 3 months of hip

2016 EvidenceUpdates

34. Bone-Marrow Derived Stem Cell Injections for Wound Healing and Tissue Rejuvenation: A Review of Clinical Effectiveness, Cost-Effectiveness and Guidelines

and other radiological outcomes, and the need for total hip replacement (THR). However, two of the included systematic reviews lacked methodological rigor and adequate reporting. In addition, the inclusion of several non-comparative studies and heterogeneous mode of BMDSC implantation, outcomes assessed, and methodologies of the component studies are important considerations. Two high-quality randomized clinical trials showed that following injection of BMDSC, patients with a range of knee injuries had (...) Bone-Marrow Derived Stem Cell Injections for Wound Healing and Tissue Rejuvenation: A Review of Clinical Effectiveness, Cost-Effectiveness and Guidelines Bone-Marrow Derived Stem Cell Injections for Wound Healing and Tissue Rejuvenation: A Review of Clinical Effectiveness, Cost-Effectiveness and Guidelines | CADTH.ca Find the information you need Bone-Marrow Derived Stem Cell Injections for Wound Healing and Tissue Rejuvenation: A Review of Clinical Effectiveness, Cost-Effectiveness

2017 Canadian Agency for Drugs and Technologies in Health - Rapid Review

35. The Effectiveness of Platelet-Rich Plasma Injections in Gluteal Tendinopathy: A Randomized, Double-Blind Controlled Trial Comparing a Single Platelet-Rich Plasma Injection With a Single Corticosteroid Injection (Abstract)

The Effectiveness of Platelet-Rich Plasma Injections in Gluteal Tendinopathy: A Randomized, Double-Blind Controlled Trial Comparing a Single Platelet-Rich Plasma Injection With a Single Corticosteroid Injection Gluteus medius/minimus tendinopathy is a common cause of lateral hip pain or greater trochanteric pain syndrome.There would be no difference in the modified Harris Hip Score (mHHS) between a single platelet-rich plasma (PRP) injection compared with a corticosteroid injection (...) in the treatment of gluteal tendinopathy.Randomized controlled trial; Level of evidence, 1.There were 228 consecutive patients referred with gluteal tendinopathy who were screened to enroll 80 participants; 148 were excluded (refusal: n = 42; previous surgery or sciatica: n = 50; osteoarthritis, n = 17; full-thickness tendon tear, n = 17; other: n = 22). Participants were randomized (1:1) to receive either a blinded glucocorticoid or PRP injection intratendinously under ultrasound guidance. A pain

2018 EvidenceUpdates

36. Total Hip Arthroplasty: What Is the Best Perioperative Analgesic Modality?: Commentary on an article by Rebecca L. Johnson, MD, et al.: "Continuous Posterior Lumbar Plexus Nerve Block Versus Periarticular Injection with Ropivacaine or Liposomal Bupivacain (Abstract)

Total Hip Arthroplasty: What Is the Best Perioperative Analgesic Modality?: Commentary on an article by Rebecca L. Johnson, MD, et al.: "Continuous Posterior Lumbar Plexus Nerve Block Versus Periarticular Injection with Ropivacaine or Liposomal Bupivacain 29088049 2017 10 31 1535-1386 99 21 2017 Nov 01 The Journal of bone and joint surgery. American volume J Bone Joint Surg Am Total Hip Arthroplasty: What Is the Best Perioperative Analgesic Modality?: Commentary on an article by Rebecca L (...) . Johnson, MD, et al.: "Continuous Posterior Lumbar Plexus Nerve Block Versus Periarticular Injection with Ropivacaine or Liposomal Bupivacaine for Total Hip Arthroplasty. A Three-Arm Randomized Clinical Trial". e117 10.2106/JBJS.17.00978 Li Xinning X Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, Boston University School of Medicine, Boston, Massachusetts. eng Journal Article United States J Bone Joint Surg Am 0014030 0021-9355 2017 11 1 6 0 2017 11 1 6 0 2017 11 1 6 0

2017 The Journal of Bone and Joint Surgery. American Volume Controlled trial quality: uncertain

37. Evaluate the Analgesic Efficacy and Safety of VVZ-149 Injection for Postoperative Pain Following Total Hip Arthroplasty.

Evaluate the Analgesic Efficacy and Safety of VVZ-149 Injection for Postoperative Pain Following Total Hip Arthroplasty. Evaluate the Analgesic Efficacy and Safety of VVZ-149 Injection for Postoperative Pain Following 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. Evaluate the Analgesic Efficacy and Safety of VVZ-149 Injection for Postoperative Pain Following 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: NCT03347266 Recruitment Status : Completed First

2017 Clinical Trials

38. Effects of periarticular injection on analgesic effects and NSAID use in total knee arthroplasty and total hip arthroplasty Full Text available with Trip Pro

Effects of periarticular injection on analgesic effects and NSAID use in total knee arthroplasty and total hip arthroplasty This study examined periarticular multimodal drug injection and the use of nonsteroidal anti-inflammatory drugs for an early analgesic effect after total knee arthroplasty and total hip arthroplasty. Patient satisfaction and benefits from the treatment were also assessed.A total of 110 patients who were scheduled to undergo total knee arthroplasty and 86 patients who were (...) scheduled to undergo total hip arthroplasty were divided into two groups, the study group and the control group. The study group received a periarticular multimodal drug injection during surgery. The control group received an equal volume of normal saline. All patients received an analgesia pump and a moderate dose of nonsteroidal anti-inflammatory drugs. Resting and motion Numeric Rating Scale scores, the Western Ontario and McMaster Universities Arthritis Index, knee or hip joint range of motion

2017 Clinics

39. Retrospective Analysis of the Accuracy of Ultrasound-Guided Magnetic Resonance Arthrogram Injections of the Hip in the Office Setting Full Text available with Trip Pro

Retrospective Analysis of the Accuracy of Ultrasound-Guided Magnetic Resonance Arthrogram Injections of the Hip in the Office Setting Ultrasound (US)-guided intra-articular hip injections have been proposed in the literature to be accurate, reliable, and safe alternatives to fluoroscopy-guided injections.To evaluate the accuracy of US-guided magnetic resonance (MR) arthrogram injections of the hip performed in the office setting by a single orthopaedic surgeon and elucidate the potential (...) effects that patient age, sex, and body mass index (BMI) have on contrast placement.Case series; Level of evidence, 4.From a review of the senior author's office database, 89 patients (101 hips) who had US-guided MR arthrogram injections performed between December 2014 and June 2016 were identified. Official radiology reports were evaluated to determine whether extra-articular contrast was noted. Patient variables, including BMI, age, and sex, were evaluated between patients who had inappropriately

2017 Orthopaedic journal of sports medicine

40. 47 Systematic review and meta-analysis of analgesic efficacy and safety profile of single injection fascia iliaca compartment blocks in the acute pre-operative pain management of hip fractures. (Abstract)

47 Systematic review and meta-analysis of analgesic efficacy and safety profile of single injection fascia iliaca compartment blocks in the acute pre-operative pain management of hip fractures.

2017 Emergency Medicine Journal : EMJ

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