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Hip Injection

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21. Effect of periarticular morphine injection for total hip arthroplasty: a randomised, double-blind trial. (PubMed)

Effect of periarticular morphine injection for total hip arthroplasty: a randomised, double-blind trial. The periarticular multimodal cocktail injection is currently commonly used to treat postoperative pain after total hip arthroplasty (THA). Despite its analgesic effect, it is frequently reported to cause nausea and vomiting, which are adverse effects of opioids. This study aimed to assess the efficacy of morphine as a component of a multimodal cocktail injection for providing postoperative (...) analgesia and alleviating swelling in patients who underwent THA.This was a prospective, single-centre, randomised controlled trial involving 100 patients scheduled for unilateral THA. A mixture of steroids, local anaesthetics, NSAIDs, and epinephrine with or without morphine (0.1 mg/kg), was injected into randomly assigned patients. Postoperative assessment was performed with all attending personnel and patients blind to group assignment. Visual analogue scale (VAS) of pain, range of motion (ROM

2018 Hip international : the journal of clinical and experimental research on hip pathology and therapy Controlled trial quality: predicted high

22. Correction to: Comment on "Efficacy of a single intra-articular injection of ultra-high molecular weight hyaluronic acid for hip osteoarthritis: a randomized controlled study". (Full text)

Correction to: Comment on "Efficacy of a single intra-articular injection of ultra-high molecular weight hyaluronic acid for hip osteoarthritis: a randomized controlled study". The original version of this article unfortunately contained a mistake. The first and last names of the authors were interchanged. The correct author names are given below.

2018 European journal of orthopaedic surgery & traumatology : orthopedie traumatologie Controlled trial quality: uncertain

23. Feasibility of arthroscopic autologous chondrocyte implantation in the hip using an injectable hydrogel. (PubMed)

Feasibility of arthroscopic autologous chondrocyte implantation in the hip using an injectable hydrogel. In the long term the treatment of articular cartilage defects of the hip has the most direct impact on the postoperative outcome and should diminish degenerative changes caused by different pathologies. The purpose of this prospective feasibility study is to describe technical aspects of arthroscopic, injectable autologous chondrocyte implantation in the hip and to report the short-term (...) outcome.Full-thickness cartilage defects of 13 patients were treated arthroscopically with an injectable autologous chondrocyte transplantation product (Novocart Inject, Tetec) in a 2-step surgical procedure. Patient-related outcome was assessed with iHOT 33, EQ-5D and Non Arthritic Hip Score at baseline (day before transplantation), after 6 weeks and 3, 6 and 12 months.13 out of 13 patients (all men) with a mean age of 32.7 ± 6.9 years and an average defect size of 1.9 ± 1.0 cm2 were available for follow

2018 Hip international : the journal of clinical and experimental research on hip pathology and therapy Controlled trial quality: uncertain

24. Efficacy of a single intra-articular injection of ultra-high molecular weight hyaluronic acid for hip osteoarthritis: a randomized controlled study. (PubMed)

Efficacy of a single intra-articular injection of ultra-high molecular weight hyaluronic acid for hip osteoarthritis: a randomized controlled study. Viscosupplementation with hyaluronic acid (HA) is increasingly used for the treatment of hip osteoarthritis (OA). The purpose of this study was to compare the efficacy of intra-articular injections of an ultra-high molecular weight viscosupplement (UHMW-HA, Fermathron S) with a medium molecular weight hyaluronan (MMW-HA, Hyalubrix 60) in hip (...) OA.Fifty-four patients with hip OA grade 3 on the Kellgren/Lawrence scale were randomized. All infiltrations were performed under ultrasound guidance. Evaluation was performed preoperatively and at 1, 3, 6 and 12 months after infiltration. Patients were clinically evaluated using Lequesne index, VAS and WOMAC score.Fifty patients, including 27 in the MMW-HA group and 23 in the UHMW-HA group, completed the follow-up. No significant difference was found between the two groups in terms of VAS, WOMAC

2018 European journal of orthopaedic surgery & traumatology : orthopedie traumatologie Controlled trial quality: uncertain

25. Association of rapidly destructive osteoarthritis of the hip with intra-articular steroid injections (Full text)

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

26. Short-Term Outcomes of Treatment of Hip Osteoarthritis With 4 Bone Marrow Concentrate Injections: A Case Series (Full text)

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

27. Comment on "Efficacy of a single intra-articular injection of ultra-high molecular weight hyaluronic acid for hip osteoarthritis: a randomized controlled study". (Full text)

Comment on "Efficacy of a single intra-articular injection of ultra-high molecular weight hyaluronic acid for hip osteoarthritis: a randomized controlled study". 29387945 2018 05 01 2018 12 02 1633-8065 28 4 2018 05 European journal of orthopaedic surgery & traumatology : orthopedie traumatologie Eur J Orthop Surg Traumatol Comment on "Efficacy of a single intra-articular injection of ultra-high molecular weight hyaluronic acid for hip osteoarthritis: a randomized controlled study". 755 10.1007 (...) A Department of Physical Medicine and Rehabilitation, Sapienza University of Rome, Rome, Italy. andrea.bernetti@uniroma1.it. eng Letter Comment 2018 01 31 France Eur J Orthop Surg Traumatol 9518037 1633-8065 0 Viscosupplements 9004-61-9 Hyaluronic Acid IM Eur J Orthop Surg Traumatol. 2018 Mar 24;: 29574576 Eur J Orthop Surg Traumatol. 2017 Nov 21;:null 29164399 Humans Hyaluronic Acid Injections, Intra-Articular Molecular Weight Osteoarthritis, Hip Osteoarthritis, Knee Treatment Outcome Viscosupplements

2018 European journal of orthopaedic surgery & traumatology : orthopedie traumatologie Controlled trial quality: uncertain

28. The Effect of Botulinum Toxin Injection at Hip Adductor Muscles in Patients With Spastic Cerebral Palsy, Pilot Study

The Effect of Botulinum Toxin Injection at Hip Adductor Muscles in Patients With Spastic Cerebral Palsy, Pilot Study The Effect of Botulinum Toxin Injection at Hip Adductor Muscles in Patients With Spastic Cerebral Palsy, Pilot 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. The Effect of Botulinum Toxin Injection at Hip Adductor Muscles in Patients With Spastic Cerebral Palsy, Pilot Study 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

2018 Clinical Trials

29. A Vascular Obstacle in Ultrasound-Guided Hip Joint Injection (Full text)

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

30. Intra-Articular Tranexamic Acid Injection During the Hip Hemi-Arthroplasty in Elderly Patients: A Retrospective Study (Full text)

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

31. Rapid destructive osteoarthritis of the hip after intra-articular steroid injection (Full text)

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

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

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

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

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. Nerve Blocks for Management of Pain Following Hip Fracture

Nerve Blocks for Management of Pain Following Hip Fracture Nerve Blocks for Management of Pain Following Hip Fracture | Emergency Medicine | Washington University in St. Louis Open Menu Back Close Menu Search for: Loading... Welcome Our Team Sections Education Alumni Research ECRC Journal Club Events Jermyn Lectures Open Search Vignette You’re moonlighting in an austere emergency department, and the night has been relatively benign except for your poor 79-year-old severely demented patient who (...) a sign of relief. But what nerve block? And will it work? You nod smartly in agreement and excuse yourself to the bathroom to check out some online resources… PICO Question Population: Elderly patients with acute hip fracture in the emergency department Intervention: Regional nerve block with any local anesthetic for analgesia (femoral nerve block, 3-in-1 nerve block, or fascia iliaca block) Comparison: Standard pain management strategy without regional nerve block Outcome: Pain scores during ED

2020 Washington University Emergency Medicine Journal Club

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 (PubMed)

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. Intra-Articular Hyaluronic Acid for Osteoarthritis of the Hip or Ankle: A Review of Clinical Effectiveness

to osteoarthritis in the hip, no significant differences in pain or adverse events were found when compared with placebo or with methylprednisolone and no differences in function or patients’ global assessment were found when compared with methylprednisolone. For osteoarthritis of the ankle, the injection of hyaluronic acid was significantly associated with an improvement in measures of pain and disability scores when compared with saline. The results of this review should be interpreted with consideration (...) Intra-Articular Hyaluronic Acid for Osteoarthritis of the Hip or Ankle: A Review of Clinical Effectiveness Intra-Articular Hyaluronic Acid for Osteoarthritis of the Hip or Ankle: A Review of Clinical Effectiveness | CADTH.ca Find the information you need Intra-Articular Hyaluronic Acid for Osteoarthritis of the Hip or Ankle: A Review of Clinical Effectiveness Intra-Articular Hyaluronic Acid for Osteoarthritis of the Hip or Ankle: A Review of Clinical Effectiveness Last updated: July 11, 2019

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

37. Chemical thromboprophylaxis after hip fracture surgery

Chemical thromboprophylaxis after hip fracture surgery Rapid Review 1 Chemical thromboprophylaxis after hip fracture surgery Citation Yap G., Joseph C. & Melder A. 2018. Chemical thromboprophylaxis after hip fracture surgery: Rapid Literature Review. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. Contact cce@monashhealth.org Background Few studies are available in the literature reporting on the prevention of venous thromboembolism in patients with a hip fracture (...) compared to those with hip arthroplasty [2] . The Director of Orthopaedic Surgery requested a review of the evidence around the most suitable chemical thromboprophylaxis for patients who have undergone hip surgery. Objectives To determine the recommended chemical thromboprophylaxis (choice, dose and duration) for patients after hip fracture surgery in the prevention of venous thromboembolism (VTE); and improvement outcomes related to deep vein thrombosis (DVT), pulmonary embolism (PE), bleeding

2019 Monash Health Evidence Reviews

38. Hip Pain: Dry Needling Versus Cortisone Injections. (Full text)

Hip Pain: Dry Needling Versus Cortisone Injections. Greater trochanteric pain syndrome (GTPS) is chronic, intermittent pain and tenderness on the outside of the hip. The medical community once thought that a swollen hip bursa was the source of such pain, which led to the use of corticosteroid injections to the bursa to help decrease swelling and pain. However, researchers now believe that injuries to the muscles and tendons around the hip are the actual cause of this pain, and that inflammation (...) is often not involved. A study published in the April 2017 issue of JOSPT explores dry needling as an alternative to cortisone injections to reduce pain and improve function in patients with GTPS. J Orthop Sports Phys Ther 2017;47(4):240. doi:10.2519/jospt.2017.0504.

2017 The Journal of orthopaedic and sports physical therapy Controlled trial quality: uncertain

39. 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 (PubMed)

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

40. The effectiveness of intra-articular injections of Hyalubrix® combined with exercise therapy in the treatment of hip osteoarthritis (Full text)

The effectiveness of intra-articular injections of Hyalubrix® combined with exercise therapy in the treatment of hip osteoarthritis Osteoarthritis (OA) is the most common joint disorder in the elderly, causing significant pain which negatively affects mobility and quality of life. The aim of the study was to assess the effectiveness of ultrasound image-guided intra-articular injections of Hyalubrix® combined with exercise therapy in the treatment of hip osteoarthritis.This was a single site (...) for a total of 65 treated hips demonstrate a significant improvement in OA-related pain, hip disability, and patient's daily functioning as well as a reduction in NSAIDs intake. Patients suffering from hip OA seem to benefit from the treatment with Hyalubrix® injections plus exercise therapy.

2017 Clinical Cases in Mineral and Bone Metabolism Controlled trial quality: uncertain

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