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Hip Injection

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101. Anabolic steroids for rehabilitation after hip fracture in older people. (PubMed)

steroid injections every three weeks for six months and daily protein supplementation versus control in 40 "lean elderly women". Both trials found some evidence of better function in the steroid plus group. One trial reported greater independence, higher Harris hip scores and gait speeds in the steroid plus group at 12 months. The second trial found fewer participants in the anabolic steroid group were either dependent in at least two functions, including bathing, or dead at six and 12 months (one (...) Anabolic steroids for rehabilitation after hip fracture in older people. Hip fracture occurs predominantly in older people, many of whom are frail and undernourished. After hip fracture surgery and rehabilitation, most patients experience a decline in mobility and function. Anabolic steroids, the synthetic derivatives of the male hormone testosterone, have been used in combination with exercise to improve muscle mass and strength in athletes. They may have similar effects in older people who

2014 Cochrane

102. Preoperative Fascia Iliaca Block Does Not Improve Analgesia after Arthroscopic Hip Surgery, but Causes Quadriceps Muscles Weakness: A Randomized, Double-blind Trial

postoperative analgesia.In a prospective, double-blinded trial, 80 patients scheduled for hip arthroscopy were randomized to receive a preoperative fascia iliaca block with 40 ml ropivacaine 0.2% or saline. Patients also received an intraarticular injection of 10-ml ropivacaine 0.2% at procedure end. Primary study endpoint was highest pain score reported in the recovery room; other study endpoints were pain scores and opioid use 24 h after surgery. Additionally, quadriceps strength was measured to identify (...) weakness. There were four postoperative falls in the block group versus one fall in the placebo group.Preoperative fascia iliaca blockade in addition to intraarticular local anesthetic injection did not improve pain control after hip arthroscopy but did result in quadriceps weakness, which may contribute to an increased fall risk. Routine use of this block cannot be recommended in this patient population.

2018 EvidenceUpdates

103. Psoas Compartment Block vs Periarticular Local Anesthetic Infiltration for Pain Management After Anterior Total Hip Arthroplasty: A Prospective, Randomized Study

Psoas Compartment Block vs Periarticular Local Anesthetic Infiltration for Pain Management After Anterior Total Hip Arthroplasty: A Prospective, Randomized Study The psoas compartment block (PCB) or periarticular soft-tissue local anesthetic injection are forms of regional anesthesia often used as one of the components in multimodal anesthesia applied during total hip arthroplasty (THA). The most efficacious form of regional anesthesia for THA has yet to be determined.In a single-surgeon (...) , prospective, clinical trial, patients undergoing THA via direct anterior approach were randomized to receive an intraoperative periarticular local anesthetic infiltration (periarticular injection) or a PCB. Postoperative pain scores, narcotic consumption, and complications were recorded.Forty-nine patients were randomized to the PCB and 50 were randomized to the periarticular injection. The resting pain score 3 hours postoperatively was statistically significantly lower in the periarticular injection

2018 EvidenceUpdates

104. Prophylactic Tranexamic Acid Administration for Patients Undergoing Hip and Knee Replacement

Prophylactic Tranexamic Acid Administration for Patients Undergoing Hip and Knee Replacement Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid (...) Administration for Patients Undergoing Hip and Knee Replacement: Clinical Effectiveness, Cost-Effectiveness, and Guidelines DATE: 16 June 2015 RESEARCH QUESTIONS 1. What is the clinical effectiveness of the administration of tranexamic acid for blood conservation in patients who are undergoing hip or knee replacement surgery? 2. What is the cost-effectiveness of the administration of tranexamic acid for blood conservation in patients who are undergoing hip or knee replacement surgery? 3. What

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

105. 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 American Journal of Sports Medicine Controlled trial quality: predicted high

106. Intra-articular Morphine and Clonidine Injections for Pain Management in Hip Arthroscopy

Intra-articular Morphine and Clonidine Injections for Pain Management in Hip Arthroscopy Intra-articular Morphine and Clonidine Injections for Pain Management in Hip Arthroscopy - 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. Intra-articular Morphine and Clonidine Injections for Pain Management in Hip Arthroscopy 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: NCT02530151 Recruitment Status : Completed First Posted : August 20, 2015 Last Update Posted : September 13, 2017 Sponsor: Northwestern University

2015 Clinical Trials

107. A Clinical Trial of Two Periarticular Multimodal Drug Injections in Total Hip Arthroplasty

A Clinical Trial of Two Periarticular Multimodal Drug Injections in Total Hip Arthroplasty A Clinical Trial of Two Periarticular Multimodal Drug Injections in 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. A Clinical Trial of Two Periarticular Multimodal Drug Injections in 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: NCT02543801 Recruitment Status : Completed First Posted : September 7, 2015 Last Update Posted : February 27, 2019 Sponsor: Kootenai Health

2015 Clinical Trials

108. Oral versus injectable chemoprophylaxis for the prevention of venous thromboembolism following elective joint replacement of the hip or knee: a systematic review

Oral versus injectable chemoprophylaxis for the prevention of venous thromboembolism following elective joint replacement of the hip or knee: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr

2018 PROSPERO

109. Intra-articular injections, a systematic review of relative efficacy of various corticosteroids for the management of hip and knee osteoarthritis- a network meta analysis

Intra-articular injections, a systematic review of relative efficacy of various corticosteroids for the management of hip and knee osteoarthritis- a network meta analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation

2018 PROSPERO

110. Local infiltration analgesia is not improved by postoperative intra-articular bolus injections for pain after total hip arthroplasty. (PubMed)

Local infiltration analgesia is not improved by postoperative intra-articular bolus injections for pain after total hip arthroplasty.

2015 Acta Orthopaedica

111. Utility of Intra-articular Hip Injections for Femoroacetabular Impingement: A Systematic Review. (PubMed)

Utility of Intra-articular Hip Injections for Femoroacetabular Impingement: A Systematic Review. Femoroacetabular impingement (FAI) is a condition that is becoming increasingly recognized as a common etiology of hip pain in athletes, adolescents, and adults. However, history and clinical examination are often inconclusive in reaching a diagnosis, while imaging often detects asymptomatic abnormalities. Treatment has traditionally been limited to surgery, with the role of conservative management (...) remaining unclear.To evaluate the utility of the intra-articular hip injection in the diagnosis and management of FAI.Systematic review; Level of evidence, 4.MEDLINE, EMBASE, and PubMed databases were screened in duplicate for studies published between January 1946 and January 2014. Search terms included femoroacetabular impingement, hip impingement, and intra-articular injection. Quality assessment using the Methodological Index for Non-Randomized Studies (MINORS) scale was completed for all included

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2015 Orthopaedic journal of sports medicine

112. The Efficacy of Platelet-Rich Plasma Injection in the Management of Hip Osteoarthritis: A Systematic Review Protocol. (PubMed)

The Efficacy of Platelet-Rich Plasma Injection in the Management of Hip Osteoarthritis: A Systematic Review Protocol. 26206142 2018 01 26 2018 12 02 1557-0681 14 2 2016 06 Musculoskeletal care Musculoskeletal Care The Efficacy of Platelet-Rich Plasma Injection in the Management of Hip Osteoarthritis: A Systematic Review Protocol. 121-5 10.1002/msc.1115 Medina-Porqueres Ivan I Department of Physical Therapy, University of Malaga, Malaga, Spain. Alvarez-Juarez Patricia P Department of Physical (...) Therapy, University of Malaga, Malaga, Spain. eng Journal Article 2015 07 24 England Musculoskeletal Care 101181344 1478-2189 IM Humans Injections, Intra-Articular Osteoarthritis, Hip therapy Platelet-Rich Plasma Systematic Reviews as Topic 2015 7 25 6 0 2015 7 25 6 0 2018 1 27 6 0 ppublish 26206142 10.1002/msc.1115

2015 Musculoskeletal care

113. Patient-controlled epidural analgesia or multimodal pain regimen with periarticular injection after total hip arthroplasty: a randomized, double-blind, placebo-controlled study. (PubMed)

Patient-controlled epidural analgesia or multimodal pain regimen with periarticular injection after total hip arthroplasty: a randomized, double-blind, placebo-controlled study. The optimal postoperative analgesia after primary total hip arthroplasty remains in question. This randomized, double-blind, placebo-controlled study compared the use of patient-controlled epidural analgesia (PCEA) with use of a multimodal pain regimen including periarticular injection (PAI). We hypothesized that PAI

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2015 The Journal of Bone and Joint Surgery. American Volume Controlled trial quality: predicted high

114. Local infiltration analgesia is not improved by postoperative intra-articular bolus injections for pain after total hip arthroplasty. (PubMed)

Local infiltration analgesia is not improved by postoperative intra-articular bolus injections for pain after total hip arthroplasty. The effect of postoperative intra-articular bolus injections after total hip arthroplasty (THA) remains unclear. We tested the hypothesis that intra-articular bolus injections administered every 6 hours after surgery during the first 24 hours would significantly improve analgesia after THA.80 patients undergoing THA received high-volume local infiltration (...) analgesia (LIA; 200 mg ropivacaine and 30 mg ketorolac) followed by 4 intra-articular injections with either ropivacaine (100 mg) and ketorolac (15 mg) (the treatment group) or saline (the control group). The intra-articular injections were combined with 4 intravenous injections of either saline (treatment group) or 15 mg ketorolac (control group). All patients received morphine as patient-controlled analgesia (PCA). The primary outcome was consumption of intravenous morphine PCA and secondary outcomes

2015 Acta Orthopaedica Controlled trial quality: uncertain

115. Can a Periarticular Levobupivacaine Injection Reduce Postoperative Opiate Consumption During Primary Hip Arthroplasty? (PubMed)

Can a Periarticular Levobupivacaine Injection Reduce Postoperative Opiate Consumption During Primary Hip Arthroplasty? Several reports have confirmed the ability of intraoperative periarticular injections to control pain after THA. However, these studies used differing combinations of analgesic agents and the contribution of each, including the local anesthetic agent, is uncertain. Understanding the independent effects of the various agents could assist in improved pain management after (...) in the levobupivacaine group, most notable in the first 12 hours after surgery: treatment group 11.5 mg vs control group 21.2 mg. We observed no differences in the frequency of postoperative nausea and vomiting or urinary retention.Our observations suggest periarticular injection of levobupivacaine can supplement available postoperative analgesic techniques and reduce postoperative morphine requirements after THA.Level I, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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2012 EvidenceUpdates Controlled trial quality: predicted high

116. 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. (PubMed)

, Australia.Individuals aged 35-70 years, with lateral hip pain for more than three months, at least 4/10 on the pain numerical rating scale, and gluteal tendinopathy confirmed by clinical diagnosis and magnetic resonance imaging; and with no corticosteroid injection use in previous 12 months, current physiotherapy, total hip replacement, or neurological conditions.A physiotherapy led education and exercise programme of 14 sessions over eight weeks (EDX; n=69), one corticosteroid injection (CSI; n=66), and a wait (...) 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. To compare the effects of a programme of load management education plus exercise, corticosteroid injection use, and no treatment on pain and global improvement in individuals with gluteal tendinopathy.Prospective, three arm, single blinded, randomised clinical trial.Brisbane and Melbourne

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2018 BMJ Controlled trial quality: predicted high

117. No Clinically Important Difference in Pain Scores After THA Between Periarticular Analgesic Injection and Placebo: A Randomized Trial

and placebo in the contralateral hip; patients, surgeons, and nurses were blinded in terms of which hip received the PAI and which hip received a placebo saline injection. The PAI solution included ropivacaine, morphine hydrochloride hydrate, methylprednisolone, ketoprofen, and epinephrine. The primary outcome was the VAS for pain at rest 24 hours after THA, measured using a 100-mm horizontal VAS. The VAS score was compared between two groups and assessed to reach the reported threshold values (...) for the minimum clinically important difference (MCID) of 20 mm for the postoperative VAS score. No patients were lost to followup, and there were no missing data for the primary outcome. Complications that occurred during the trial were recorded prospectively with emphasis on infection, wound complications, nerve palsy and allergic reactions to the injections.There were no clinically important differences between hips treated with the PAI and those treated with the placebo injection at any point. The hips

2018 EvidenceUpdates

118. Treatment of osteoporotic intertrochanteric fractures by zoledronic acid injection combined with proximal femoral nail anti-rotation. (PubMed)

had no new fractures, whereas 2 new cases of hip fracture and 2 cases of distal radial fractures were observed among the controls.Zoledronic acid injection combined with PFNA is a favorable treatment option for the elderly patients with osteoporotic intertrochanteric fracture. It can effectively relieve bone pain, increase bone density, improve quality of life, reduce the occurrence of new fractures and promote fracture healing. (...) Treatment of osteoporotic intertrochanteric fractures by zoledronic acid injection combined with proximal femoral nail anti-rotation. To observe the clinical results of proximal femoral nail anti-rotation (PFNA) combined with zoledronic acid injection in the treatment of osteoporotic intertrochanteric fractures in the elderly.60 elderly patients with osteoporotic intertrochanteric fractures were diagnosed using a dual energy X-ray bone density instrument. Patients were randomly divided

2017 Chinese journal of traumatology = Zhonghua chuang shang za zhi Controlled trial quality: uncertain

119. Intra-articular Volume Reduction With Arthroscopic Plication for Capsular Laxity of the Hip: A Cadaveric Comparison of Two Surgical Techniques. (PubMed)

Intra-articular Volume Reduction With Arthroscopic Plication for Capsular Laxity of the Hip: A Cadaveric Comparison of Two Surgical Techniques. To compare intracapsular volume reduction between interportal capsular shift and T-capsulotomy plication in a cadaveric model.Twelve pair-matched specimens were randomized into T-capsulotomy plication or interportal capsular shift. T-capsulotomy was performed using a 2-cm interportal and 2-cm bisecting, longitudinal limb to the intertrochanteric line (...) . Plication was performed utilizing 5-mm bites on either side of the capsulotomy with arthroscopic knot tying technique standard alternating half hitches. Pair-matched interportal capsular shift specimens underwent 5-cm interportal capsulotomy, and capsular shift was performed utilizing 5 nonabsorbable sutures placed in 45° orientation at 5 mm from the capsulotomy margin. With each specimen in a position of slight flexion and adduction, a spinal needle was used to inject methylene blue-colored saline

2019 Arthroscopy

120. Editorial Commentary: Subspine Hip Abnormalities: Exploring the Difference Between "Morphology" and "Impingement". (PubMed)

morphologies and deformities, and in the setting of persistent anterior hip pain after intra-articular anesthetic injections. Dynamic computed tomographic imaging has recently shown subspine impingement even with relatively normal AIIS morphology and in the setting of decreased femoral anteversion. These findings further emphasize the importance of understanding and defining relationships between morphology and impingement. Ultimately, subspine decompressions might be critical to achieve the best possible (...) Editorial Commentary: Subspine Hip Abnormalities: Exploring the Difference Between "Morphology" and "Impingement". Subspine impingement has been increasingly recognized as a source of hip pain over the past 5 to 10 years. Some surgeons routinely perform subspine/anterior inferior iliac spine (AIIS) decompressions, whereas others rarely perform these procedures as part of an arthroscopic hip procedure. Subspine impingement has been implicated with high range-of-motion activities, various AIIS

2019 Arthroscopy

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