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Hip Injection

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21. Comparison of Two Injection Techniques for Intra-articular Hip Injections. (PubMed)

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

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

22. 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

23. A Vascular Obstacle in Ultrasound-Guided Hip Joint Injection (PubMed)

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

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2018 Journal of medical ultrasound

24. 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

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

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

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2018 Clinical medicine insights. Case reports

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

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

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2018 Geriatric orthopaedic surgery & rehabilitation

27. 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". (PubMed)

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.

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

28. 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

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

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

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

30. 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

31. 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

32. Rapid destructive osteoarthritis of the hip after intra-articular steroid injection (PubMed)

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.

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2018 Arthroplasty today

33. Association of rapidly destructive osteoarthritis of the hip with intra-articular steroid injections (PubMed)

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

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2018 Arthroplasty today

34. 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 Journal of Arthroplasty

35. Intra-articular steroid injection for osteoarthritis of the hip prior to total hip arthroplasty : is it safe? a systematic review. (PubMed)

Intra-articular steroid injection for osteoarthritis of the hip prior to total hip arthroplasty : is it safe? a systematic review. Using a systematic review, we investigated whether there is an increased risk of post-operative infection in patients who have received an intra-articular corticosteroid injection to the hip for osteoarthritis prior to total hip arthroplasty (THA).Studies dealing with an intra-articular corticosteroid injection to the hip and infection following subsequent THA were (...) identified from databases for the period between 1990 to 2013. Retrieved articles were independently assessed for their methodological quality.A total of nine studies met the inclusion criteria. Two recommended against a steroid injection prior to THA and seven found no risk with an injection. No prospective controlled trials were identified. Most studies were retrospective. Lack of information about the methodology was a consistent flaw.The literature in this area is scarce and the evidence is weak

2016 The Bone & Joint Journal

36. Efficacy of Viscosupplementation Associated With Intra-articular Corticosteroid Injection Versus Intra-articular Injection of Corticosteroids Alone in Osteoarthritis of Hip

Efficacy of Viscosupplementation Associated With Intra-articular Corticosteroid Injection Versus Intra-articular Injection of Corticosteroids Alone in Osteoarthritis of Hip Efficacy of Viscosupplementation Associated With Intra-articular Corticosteroid Injection Versus Intra-articular Injection of Corticosteroids Alone in Osteoarthritis of Hip - 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. Efficacy of Viscosupplementation Associated With Intra-articular Corticosteroid Injection Versus Intra-articular Injection of Corticosteroids Alone in Osteoarthritis of Hip (VISCOSUPP-HIP) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing

2016 Clinical Trials

37. ReNuâ„¢ Injection to Treat Hip Osteoarthritis Study

ReNuâ„¢ Injection to Treat Hip Osteoarthritis Study ReNu™ Injection to Treat Hip Osteoarthritis 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. ReNu™ Injection to Treat Hip Osteoarthritis Study (...) Details Study Description Go to Brief Summary: A pilot study to evaluate changes in hip function and pain in patients with osteoarthritis receiving the ReNu™ Hip Injection. Condition or disease Intervention/treatment Phase Osteoarthritis, Hip Other: ReNu™ Injection Not Applicable Detailed Description: This is a prospective, non-randomized pilot study evaluating the efficacy of ReNu™ hip injection on patients with moderate osteoarthritis. The effects will be measured primarily through patient-reported

2017 Clinical Trials

38. 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. (PubMed)

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

39. Efficacy of intra-articular hyaluronic acid injections in hip osteoarthritis: a meta-analysis of randomized controlled trials. (PubMed)

Efficacy of intra-articular hyaluronic acid injections in hip osteoarthritis: a meta-analysis of randomized controlled trials. There is less credible evidence of using of intra-articular injections of hyaluronic acid (HA) to treat hip osteoarthritis (OA). This study is to determine the therapeutic effects and risk of adverse events of HA administration for hip OA. The MEDLINE, Cochrane of Systematic Reviews, Cochrane Clinical Trial Register and EMBASE, were searched for articles published (...) pain scores compared HA with different controls was 0.03 (95%CI; -0.20 to 0.26; P < 0.05). The SMD of improved Lequesne's index and WOMAC was -0.24 (95%CI, -0.50 to 0.02; P > 0.05) and -0.13 (95%CI, 0.64 to 0.37; P > 0.05). There were no significant differences between HA and control group in adverse events (RR: 0.94; 95%CI, 0.41 to 2.20; P > 0.05). Intra-articular HA in hip OA can significantly reduce pain and improve functional recovery when compared with the condition before treatment. However

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2017 Oncotarget

40. Editorial Commentary: Be Careful With Preoperative Injections Prior to Hip Arthroscopy-Use a Three-Month Threshold to Reduce Infection Risk. (PubMed)

Editorial Commentary: Be Careful With Preoperative Injections Prior to Hip Arthroscopy-Use a Three-Month Threshold to Reduce Infection Risk. A large private insurer and Medicare in the United States was queried to evaluate the risk of postarthroscopic hip infection in patients who had preoperative injections. A 3-month threshold was established, showing a significant risk of postoperative infection (2.2% [odds ratio 6.1; P < .001] for private insured patients and 2.8% [odds ratio 2.0; P = .04 (...) ] for Medicare patients) if performed within 3 months of surgery (vs controls not undergoing a preoperative injection).Copyright © 2017 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

2017 Arthroscopy

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