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Hip Injection

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101. Vascular Coloration for Anatomical Study of the Pelvis and Hip: Implications in Hip Preservation Surgery (Full text)

Vascular Coloration for Anatomical Study of the Pelvis and Hip: Implications in Hip Preservation Surgery Hip preservation surgical techniques have steadily increased in the recent past. Therefore, precise knowledge of the vascular system of the hip and pelvis is critical for avoidance of possibly devastating complications during surgery. A colored latex injection in the common iliac artery of cadavers allows for a complete staining of the hip and pelvis vascular system. This technique creates (...) more resilient vessels, whereas coloration with dye causes the vessels to be highly visible in comparison with the surrounding tissue. The proposed colored latex-dye solution injection allows for complete identification of the circulatory system of the lower extremity with specific focus on the hip and pelvis. This technique is simple, reproducible, and easily usable by orthopaedic surgeons in the laboratory to better understand the vascularization of the lower limb. The purpose of this technical

2017 Arthroscopy techniques PubMed abstract

102. Can a Periarticular Levobupivacaine Injection Reduce Postoperative Opiate Consumption During Primary Hip Arthroplasty? (Full text)

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.

2012 EvidenceUpdates Controlled trial quality: predicted high PubMed abstract

103. 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. (Full text)

, 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

2018 BMJ Controlled trial quality: predicted high PubMed abstract

104. No Clinically Important Difference in Pain Scores After THA Between Periarticular Analgesic Injection and Placebo: A Randomized Trial (Full text)

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 PubMed abstract

105. A Study of the Safety, Tolerability, and Pharmacokinetics of SM04690 Injectable Suspension Following Single Intradiscal Injection in Subjects With Degenerative Disc Disease

A Study of the Safety, Tolerability, and Pharmacokinetics of SM04690 Injectable Suspension Following Single Intradiscal Injection in Subjects With Degenerative Disc Disease A Study of the Safety, Tolerability, and Pharmacokinetics of SM04690 Injectable Suspension Following Single Intradiscal Injection in Subjects With Degenerative Disc Disease - 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 Study of the Safety, Tolerability, and Pharmacokinetics of SM04690 Injectable Suspension Following Single Intradiscal Injection in Subjects With Degenerative Disc Disease The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does

2017 Clinical Trials

106. A Novel and Practical Chromatographic “Fingerprint-ROC-SVM” Strategy Applied to Quality Analysis of Traditional Chinese Medicine Injections: Using KuDieZi Injection as a Case Study (Full text)

, with the accuracy of 97.06%, was established by the optimized characteristic peaks and applied to monitor the quality of KDZ injection. As a result, the established model could sensitively and accurately distinguish the qualified products (QPs) with the unqualified products (UPs), high-temperature processed samples (HTPs) and high-illumination processed samples (HIPs) of KDZ injection, and the prediction accuracy was 100.00%, 93.75% and 100.00%, respectively. Furthermore, through the comparison with other (...) A Novel and Practical Chromatographic “Fingerprint-ROC-SVM” Strategy Applied to Quality Analysis of Traditional Chinese Medicine Injections: Using KuDieZi Injection as a Case Study Fingerprinting is widely and commonly used in the quality control of traditional Chinese medicine (TCM) injections. However, current studies informed that the fingerprint similarity evaluation was less sensitive and easily generated false positive results. For this reason, a novel and practical chromatographic

2017 Molecules : A Journal of Synthetic Chemistry and Natural Product Chemistry PubMed abstract

107. Is anesthetic hip joint injection useful in diagnosing hip osteoarthritis? A meta-analysis of case series. (Abstract)

Is anesthetic hip joint injection useful in diagnosing hip osteoarthritis? A meta-analysis of case series. To assess the diagnostic value of intra-articular anesthetic hip injection in patients with hip pain atypical for osteoarthritis (OA), literature was searched. Included were studies assessing the diagnostic value of anesthetic hip injections in differentiating between pain caused by OA or another source. Pooled estimates of sensitivity and specificity with 95% confidence intervals (CI (...) ) were calculated. Of the 1387 potentially eligible articles, nine case series with high risk of bias could be included. The pooled sensitivity was 0.97 (95% CI 0.87, 0.99). Specificity was 0.91 (95% CI 0.83, 0.95). For clinical practice, no recommendation can be made regarding the use of hip injections for diagnosing hip OA. High quality, accurately reported studies are needed to provide better evidence on the diagnostic role of hip injection. Copyright © 2014 Elsevier Inc. All rights reserved.

2014 Journal of Arthroplasty

108. Ultrasound-guided hip injections: a comparative study with fluoroscopy-guided injections. (Abstract)

Ultrasound-guided hip injections: a comparative study with fluoroscopy-guided injections. The purpose was to assess ultrasound-guided injections through patient satisfaction in a comparative internally controlled study of fluoroscopic versus ultrasound technique and to quantitate the reliability of the ultrasound method. In addition, the reliability of the ultrasound method was quantitated.This study consisted of the first 50 consecutive patients to undergo ultrasound-guided intra-articular (...) injection of the hip (by a nurse practitioner) and who had previously undergone fluoroscopy-guided intra-articular injections by our center's fellowship-trained musculoskeletal radiologists. The patients rated the ultrasound and fluoroscopic experiences on a scale from 1 to 10 for convenience and pain; in addition, they indicated their preference between the 2 techniques. Success of the injection was documented among a total of 206 consecutive patients who underwent ultrasound-guided injections during

2014 Arthroscopy

109. Anabolic steroids for rehabilitation after hip fracture in older people. (Full text)

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 PubMed abstract

110. Chronic Hip Pain

Procedure Rating Comments RRL* X-ray pelvis 9 X-ray pelvis and x-ray hip are complementary. ?? X-ray hip 9 X-ray pelvis and x-ray hip are complementary. ??? MRI hip without IV contrast 1 O MRI hip without and with IV contrast 1 O US hip 1 O CT hip without IV contrast 1 ??? CT hip with IV contrast 1 ??? CT hip without and with IV contrast 1 ??? CT arthrography hip 1 ??? MR arthrography hip 1 O Tc-99m bone scan hip 1 ??? F-18 fluoride PET hip 1 ??? Image-guided anesthetic +/- corticosteroid injection hip (...) joint or surrounding structures 1 Varies Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level Variant 2: Chronic hip pain. Radiographs negative, equivocal, or nondiagnostic. Suspect extra- articular noninfectious soft-tissue abnormality, such as tendonitis. Radiologic Procedure Rating Comments RRL* MRI hip without IV contrast 9 O US hip 7 O Image-guided anesthetic +/- corticosteroid injection hip joint or surrounding structures 5

2016 American College of Radiology

111. Portable Compression to Prevent Venous Thromboembolism After Hip and Knee Surgery: The ActiveCare System

patients undergoing hip or knee replacement surgery at a single centre in Israel. Patients were randomized to receive either compression therapy plus ASA (100 mg per day), or anticoagulation therapy (40 mg of enoxaparin once daily by injection). 6 The duration of therapy was not specified. A total of 121 patients (61 in the compression group and 60 in the anticoagulation group) completed the study and were included in analysis. Five to eight days after surgery, each patient received venograms or duplex (...) Portable Compression to Prevent Venous Thromboembolism After Hip and Knee Surgery: The ActiveCare System Portable Compression to Prevent Venous Thromboembolism After Hip and Knee Surgery: The ActiveCare System | CADTH.ca CADTH Document Viewer Portable Compression to Prevent Venous Thromboembolism After Hip and Knee Surgery: The ActiveCare System Table of Contents Search this document Portable Compression to Prevent Venous Thromboembolism After Hip and Knee Surgery: The ActiveCare System March

2016 CADTH - Issues in Emerging Health Technologies

112. Portable Compression to Prevent Venous Thromboembolism After Hip and Knee Surgery: The ActiveCare System

patients undergoing hip or knee replacement surgery at a single centre in Israel. Patients were randomized to receive either compression therapy plus ASA (100 mg per day), or anticoagulation therapy (40 mg of enoxaparin once daily by injection). 6 The duration of therapy was not specified. A total of 121 patients (61 in the compression group and 60 in the anticoagulation group) completed the study and were included in analysis. Five to eight days after surgery, each patient received venograms or duplex (...) Portable Compression to Prevent Venous Thromboembolism After Hip and Knee Surgery: The ActiveCare System Portable Compression to Prevent Venous Thromboembolism After Hip and Knee Surgery: The ActiveCare System | CADTH.ca CADTH Document Viewer Portable Compression to Prevent Venous Thromboembolism After Hip and Knee Surgery: The ActiveCare System Table of Contents Search this document Portable Compression to Prevent Venous Thromboembolism After Hip and Knee Surgery: The ActiveCare System March

2016 CADTH - Issues in Emerging Health Technologies

113. Osteonecrosis of the Hip

Osteonecrosis of the Hip Date of origin: 1995 Last review date: 2015 ACR Appropriateness Criteria ® 1 Osteonecrosis of the Hip American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Osteonecrosis of the Hip Variant 1: Adult or Child. Clinically suspected osteonecrosis. First study. Radiologic Procedure Rating Comments RRL* X-ray pelvis and hips 9 This procedure includes the frog-leg view. The RRL for the adult procedure is ???. ???? CT hips without IV contrast 1 (...) The RRL for the adult procedure is ???. ???? CT hips with IV contrast 1 The RRL for the adult procedure is ???. ???? CT hips without and with IV contrast 1 The RRL for the adult procedure is ????. ????? Tc-99m bone scan with SPECT hips 1 The RRL for the adult procedure is ???. ???? MRI hips without IV contrast 1 O MRI hips without and with IV contrast 1 O Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level Variant 2: Adult

2015 American College of Radiology

114. Imaging after Total Hip Arthroplasty

Comments RRL* X-ray hip 9 ??? CT hip without IV contrast 5 ??? Tc-99m bone scan hip 5 ??? X-ray arthrography hip 5 ? Tc-99m nuclear arthrography hip 4 ??? FDG-PET hip 3 ??? F-18 fluoride PET hip 3 ??? Image-guided anesthetic injection of hip 3 A positive study usually indicates an articular cause for pain. Varies MRI hip without IV contrast 3 O CT hip with IV contrast 1 ??? CT hip without and with IV contrast 1 ??? MRI hip without and with IV contrast 1 O Rating Scale: 1,2,3 Usually not appropriate (...) Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level Variant 8: Total hip arthroplasty; suspect iliopsoas bursitis or tendinitis. Radiologic Procedure Rating Comments RRL* X-ray hip 9 This procedure is complementary to other studies. ??? MRI hip without IV contrast 8 This procedure is an alternative to US. O US hip 8 This procedure is an alternative to MRI. O Injection anesthetic iliopsoas tendon 6 Varies CT hip without IV contrast 4

2015 American College of Radiology

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

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

116. How effective is periarticular drug infiltration in providing pain relief and early functional outcome following total hip arthroplasty? (Abstract)

How effective is periarticular drug infiltration in providing pain relief and early functional outcome following total hip arthroplasty? The aim of the study was to compare the efficacy of periarticular injection of a cocktail of analgesic drugs (PIC) with epidural infiltration (EA), in providing postoperative pain relief and early functional improvement following Total Hip Arthroplasty (THA).50 patients undergoing unilateral THA were randomized to receive either EA or PIC for postoperative

2019 Journal of clinical orthopaedics and trauma Controlled trial quality: uncertain

117. Tibialis posterior muscle pain effects on hip, knee and ankle gait mechanics. (Abstract)

Tibialis posterior muscle pain effects on hip, knee and ankle gait mechanics. Tibialis posterior (TP) dysfunction is a common painful complication in patients with rheumatoid arthritis (RA), which can lead to the collapse of the medial longitudinal arch. Different theories have been developed to explain the causality of tibialis posterior dysfunction. In all these theories, pain is a central factor, and yet, it is uncertain to what extent pain causes the observed biomechanical alterations (...) in the patients. The aim of this study was to investigate the effect of experimental tibialis posterior muscle pain on gait mechanics in healthy subjects.Twelve healthy subjects were recruited for this randomized crossover study. Experimental pain was induced by ultrasound-guided injection of 1 mL hypertonic saline into the upper part of the right tibialis posterior muscle with the use of isotonic saline as non-pain-inducing control. Subsequently, kinematic data during three self-paced over ground walking

2019 Human movement science Controlled trial quality: uncertain

118. Impact of Local Infiltration Analgesia on the Quality of Recovery After Anterior Total Hip Arthroplasty: A Randomized, Triple-Blind, Placebo-Controlled Trial. (Abstract)

Impact of Local Infiltration Analgesia on the Quality of Recovery After Anterior Total Hip Arthroplasty: A Randomized, Triple-Blind, Placebo-Controlled Trial. Local infiltration analgesia (LIA) is commonly used in anterior total hip arthroplasty (THA) surgery; however, evidence for its efficacy is lacking. We hypothesized that LIA with 0.2% ropivacaine when compared with injection of placebo (0.9% saline) would improve patient quality of recovery on postoperative day (POD) 1, as measured

2019 Anesthesia and Analgesia Controlled trial quality: predicted high

119. Analgesic Effect of Duloxetine on an Animal Model of Monosodium Iodoacetate-Induced Hip Osteoarthritis. (Abstract)

Analgesic Effect of Duloxetine on an Animal Model of Monosodium Iodoacetate-Induced Hip Osteoarthritis. We investigated the efficacy of duloxetine on hyperalgesia, histopathological and radiographic findings, pain-related sensory innervation of dorsal-root ganglia (DRG), and spinal changes in a rat model of induced hip osteoarthritis (OA). The right hip joints of male Sprague-Dawley rats (n = 6 rats/group) in the Sham group were injected with 25 μl of sterile saline and 25 μl of sterile saline (...) for ionized-calcium-binding adaptor molecule 1 (Iba1) in the dorsal horn of the spinal cord. MIA administration into the hip joint let to mechanical hyperalgesia of the ipsilateral hind paw (p < 0.05). A single injection of duloxetine significantly attenuated it in induced hip OA (p < 0.05) and suppressed the number of Iba1-ir microglia of the ipsilateral dorsal horn (p < 0.05). These results suggest that a single injection of duloxetine suppressed mechanical hyperalgesia and may influence the expression

2019 Journal of Orthopaedic Research

120. Editorial Commentary: The Truth about Peripheral Nerve Blocks and Hip Arthroscopy. (Full text)

Editorial Commentary: The Truth about Peripheral Nerve Blocks and Hip Arthroscopy. Peripheral nerve blocks targeting the fascia iliaca compartment have been used in attempts to improve postoperative pain after hip arthroscopy surgery. Recent level I evidence from randomized controlled trials have revealed injection of local anesthetic into the fascia iliaca compartment to be no better than sham injection for postoperative pain control, while contributing to decreased patient quadriceps strength (...) and increased fall risk after surgery. The fascia iliaca compartment block is also inferior to local anesthetic injection at the surgery site for pain control. Results of these high-level studies show that routine preoperative use of the fascia iliaca compartment block is not recommended for hip arthroscopy.Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

2019 Arthroscopy PubMed abstract

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