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Hip Injection

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101. Existing Evidence on Ultrasound-Guided Injections in Sports Medicine Full Text available with Trip Pro

, and foot have superior efficacy to landmark-guided injections. Conclusive evidence is not available regarding improved efficacy of ultrasound-guided injections of the hip, although landmark-guided injection is performed less commonly at the hip joint. Ultrasound-guided injections are overall more accurate than landmark-guided injections. While current studies indicate that ultrasound guidance improves efficacy and cost-effectiveness of many injections, these studies are limited and more research (...) Existing Evidence on Ultrasound-Guided Injections in Sports Medicine Office-based ultrasonography has become increasingly available in many settings, and its use to guide joint and soft tissue injections has increased. Numerous studies have been conducted to evaluate the use of ultrasound-guided injections over traditional landmark-guided injections, with a rapid growth in the literature over the past few years. A comprehensive review of the literature was conducted to demonstrate increased

2018 Orthopaedic journal of sports medicine

102. Corticosteroid Injection for an Orthopedic Complaint in a Female with Gestational Diabetes Full Text available with Trip Pro

Corticosteroid Injection for an Orthopedic Complaint in a Female with Gestational Diabetes A female with gestational diabetes presented with hip pain characteristic of meralgia paresthetica and trochanteric bursitis. She had similar episodes prior to pregnancy that were treated successfully with non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroid injections. However, NSAID use during pregnancy poses risks to the fetus and corticosteroids carry a risk of hyperglycemia, especially (...) in those with diabetes. Unfortunately, all attempts made to treat her conservatively failed to improve her symptoms. The use of antenatal corticosteroids as an intervention for preterm labor has been documented, but to our knowledge, there are no published reports of corticosteroid injections for orthopedic complaints in someone with gestational diabetes. Review of her glucose log showed well-controlled levels, and subsequently, a corticosteroid injection was administered. Blood glucose levels were

2018 Sports medicine - open

103. Segmental Spinal Myoclonus Complicating Lumbar Transforaminal Epidural Steroid Injection. (Abstract)

to diagnostic selective nerve root injection with local anesthetic at the right L3 and L4 levels, lumbar transforaminal epidural steroid injection at the same levels was scheduled. During injection of ropivacaine and triamcinolone at the right L3-4 intervertebral foramen, she complained of back pain and immediately developed involuntary contraction of her right hip. The procedure was terminated. No new neurological deficit was detected when she was examined 15 minutes after the procedure. There were (...) Segmental Spinal Myoclonus Complicating Lumbar Transforaminal Epidural Steroid Injection. Lumbar transforaminal epidural steroid injection is commonly used for treating lumbar radicular pain. We report a case of segmental spinal myoclonus that developed during lumbar transforaminal epidural injection with local anesthetic and steroid.A 58-year-old woman with failed back surgery syndrome presented with low back and right L3 and L4 radicular pain. As she had responded well previously

2018 Regional Anesthesia and Pain Medicine

104. Comparison of Single Intra-articular Injection of Hyruan-One With Hylan G-F 20 in Knee Osteoarthritis

conservative treatment at least 3 months Kellgren-Lawrence grade I-III Gave informed consent Can do questionnaires Exclusion Criteria: Severe deformity (varus or values from mechanical axis more than 5 degrees Allergy to hyaluronic acid Pain on hip or ankle Post-traumatic or post surgery of lower extremity Post infection of knee Previous hyaluronic acid injection within 6 months Pregnancy or lactation Underlying Rheumatoid arthritis, stroke, malignancy, venous occlusion Contacts and Locations Go (...) Comparison of Single Intra-articular Injection of Hyruan-One With Hylan G-F 20 in Knee Osteoarthritis Comparison of Single Intra-articular Injection of Hyruan-One With Hylan G-F 20 in Knee Osteoarthritis - 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

2018 Clinical Trials

105. Osteoarthritis Shoulder Injection Study

a patient-specific duration that often provide relief for a month before the effects begin to taper with most individuals returning to baseline by 2-3 months post injection. Unfortunately, data on intraarticular injections is not robust and primarily focused on hip, knee, and disease processes rather than the glenohumeral joint. For example, steroid concentrations have been studied in adhesive capsulitis, where 20 and 40mg of triamcinolone acenotide were used with no statistical significance between (...) Osteoarthritis Shoulder Injection Study Osteoarthritis Shoulder Injection 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. Osteoarthritis Shoulder Injection Study The safety and scientific validity

2018 Clinical Trials

106. American Association of Hip and Knee Surgeons Clinical Practice Guideline on Tranexamic Acid in Total Joint Arthroplasty

, Lopez-Picado A, Remon M, Fondarella A, Iriarte I, Bastida R, Rodríguez-Gascón A, Achaerandio M, Iturricastillo M, Aizpuru F, Valero C, Tobalina R, Hernanz R. Tranexamic Acid Compared with Placebo for Reducing Total Blood Loss in Hip Replacement Surgery: A Randomized Clinical Trial. In: Anesthesia and analgesia. 986. 2016 9. Lin P, Hsu C, Huang C, Chen W, Wang J. The blood-saving effect of tranexamic acid in minimally invasive total knee replacement: is an additional pre-operative injection effective (...) American Association of Hip and Knee Surgeons Clinical Practice Guideline on Tranexamic Acid in Total Joint Arthroplasty Tranexamic Acid in Total Joint Arthroplasty: The Endorsed Clinical Practice Guides of the American Association of Hip and Knee Surgeons, American Society of Regional Anesthesia and Pain Medicine, American Academy of Orthopaedic Surgeons, The Hip Society, and The Knee Society Fillingham YA 1 , Ramkumar DB 2 , Jevsevar DS 2 , Yates AJ 3 , Sayeed SA 4 , Sah AP 5 , Bini SA 6

2018 American Academy of Orthopaedic Surgeons

107. Monoclonal Antibodies for Osteoarthritis of the Hip or Knee

therapeutic options include non-pharmacologic therapy and topical analgesics, followed by oral analgesics and injectable agents, followed by surgery for end-stage disease. OA typically affects the knees, hips, hands, spine, and feet. Treatment with anti-nerve growth factors monoclonal antibodies (anti-NGFs) may improve joint pain and physical function, as nerve growth factor is associated with chronic pain conditions, and is elevated in the joints of patients with osteoarthritis. Within the indication (...) investigated as an intravenous infusion; a subcutaneous injection was subsequently developed. 18-26 The doses used in the completed phase III clinical trials for IV tanezumab were 2.5 mg, 5 mg, or 10 mg administered every eight weeks. 13 The doses used in the ongoing phase III clinical trials for SC tanezumab are 2.5 mg and 5 mg, administered every eight weeks. 39-41 Target Population For OA, tanezumab has been studied in adults with hip or knee OA who do not respond to or who are intolerant to currently

2018 CADTH - Issues in Emerging Health Technologies

108. Guideline for the management of knee and hip osteoarthritis

OA, with monitoring of possible adverse effects, then discontinue use if not effective. • Corticosteroid injections could be offered for short-term symptom relief for some people with knee and/or hip OA, but care should be taken with repeated injections because of potential harm. • Duloxetine could be considered for some people with knee and/or hip OA when other forms of pain relief are inadequate. • There is a strong recommendation against the use of the following – oral and transdermal opioids (...) – viscosupplementation injection for hip OA – doxycycline – strontium ranelate – interleukin-1 (IL-1) inhibitors – stem cell therapy. • There is a conditional recommendation against the use of the following – capsaicin for knee and/or hip OA – bisphosphonates – calcitonin – anti-nerve growth factor (NGF) – colchicine – methotrexate – viscosupplementation injection for knee OA – dextrose prolotherapy – omega 3 fatty acids – diacerein.3 Guideline for the management of knee and hip osteoarthritis Second edition • Due

2018 Clinical Practice Guidelines Portal

109. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 13: Injection therapies, low-back pain, and lumbar fusion

Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 13: Injection therapies, low-back pain, and lumbar fusion J Neurosurg Spine 21:79–90, 2014 79 ©AANS, 2014 J Neurosurg: Spine / Volume 21 / July 2014 Therapeutic Recommendations There is no new evidence that conflicts with the pre - vious recommendations regarding injection therapies pub- lished in the original version of the “Guidelines for the per - formance of fusion procedures (...) for degenerative disease of the lumbar spine.” 27 Lumbar Epidural Steroid Injections Grade C Lumbar epidural steroid injections (ESIs) are an op- tion for the short-term relief of chronic low-back pain without radiculopathy in patients with degenerative dis- ease of the lumbar spine (Level III evidence). Caudal ESIs are an option for decreasing low-back pain of greater than 6 weeks’ duration, without radiculop - athy, in patients with degenerative disease of the lumbar spine (Level III evidence). Lumbar Facet

2014 Congress of Neurological Surgeons

110. Hip-related groin pain, patient characteristics and patient-reported outcomes in patients referred to tertiary care due to longstanding hip and groin pain: a cross-sectional study. Full Text available with Trip Pro

and categorized into hip-related groin pain or non-hip-related groin pain using diagnostic criteria based on current best evidence (clinical examination, radiological examination and intra-articular block injection). Patient characteristics (gender (%), age (years), BMI (kg/m2)), results from the Hip Sports Activity Scale (HSAS), the SF-36, the Copenhagen Hip and Groin Outcome Score (HAGOS), and pain distribution (pain manikin) were collected. Parametric and non-parametric statistics were used as appropriate (...) Hip-related groin pain, patient characteristics and patient-reported outcomes in patients referred to tertiary care due to longstanding hip and groin pain: a cross-sectional study. Due to advances in hip arthroscopy, the number of surgical procedures has increased dramatically. The diagnostic challenge in patients with longstanding hip and groin pain, as well as the increasing number of hip arthroscopies, may lead to a higher number of patients referred to tertiary care for consideration

2019 BMC Musculoskeletal Disorders

111. What Are the Costs of Hip Osteoarthritis in the Year Prior to a Total Hip Arthroplasty? (Abstract)

of total 1-year costs was accounted for by office visits (35% in Commercial; 41% in MA) followed by pain medications (28% in Commercial; 35% in MA). Conservative treatments (steroid injections, hyaluronic acid injections, physical therapy, and pain medications) alone accounted for 40%-44% of the total 1-year costs prior to a THA. A high healthcare utilization within the last 3 months prior to surgery was noted for opioids and steroid injections.On average, $500-$800/patient is spent on hip (...) What Are the Costs of Hip Osteoarthritis in the Year Prior to a Total Hip Arthroplasty? The majority of the cost analysis literature on total hip arthroplasties (THAs) has been focused around the perioperative and postoperative period, with preoperative costs being overlooked.The Humana Administrative Claims database was used to identify Medicare Advantage (MA) and Commercial beneficiaries undergoing elective primary THAs. Preoperative healthcare resource utilization in the year prior to a THA

2019 Journal of Arthroplasty

112. 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

113. 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

114. Clinical Practice Guideline on the Management of Osteoarthritis of the Hip

” strength studies with consistent findings, or evidence from a single “High” quality study for recommending for or against the intervention. 6 INTRAARTICULAR INJECTABLES a) Strong evidence supports the use of intraarticular corticosteroids to improve function and reduce pain in the short-term for patients with symptomatic osteoarthritis of the hip. Strength of Recommendation: Strong Evidence Description: Evidence from two or more “High” strength studies with consistent findings for recommending (...) Clinical Practice Guideline on the Management of Osteoarthritis of the Hip MANAGEMENT OF OSTEOARTHRITIS OF THE HIP EVIDENCE-BASED CLINICAL PRACTICE GUIDELINE Adopted by the American Academy of Orthopaedic Surgeons Board of Directors 3.13.17 Endorsed by: 1 Disclaimer This Clinical Practice Guideline was developed by an AAOS physician volunteer Guideline development group based on a systematic review of the current scientific and clinical information and accepted approaches to treatment

2017 American Academy of Orthopaedic Surgeons

115. Hip pain and mobility deficits&mdash

Hip pain and mobility deficits&mdash Hip pain and mobility deficits—hip osteoarthritis: revision 2017. | National Guideline Clearinghouse success fail May JUN 09 2017 2018 2019 18 May 2018 - 12 Jul 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused with the archive.org Archive-It Team) is a rogue archivist collective dedicated to saving copies of rapidly dying or deleted websites for the sake of history and digital heritage. The group is 100% composed (...) that WARC to ArchiveTeam servers for eventual injection into the Internet Archive (or other archive sites). To use ArchiveBot, drop by #archivebot on EFNet. To interact with ArchiveBot, you issue commands by typing it into the channel. Note you will need channel operator permissions in order to issue archiving jobs. The dashboard shows the sites being downloaded currently. There is a dashboard running for the archivebot process at . ArchiveBot's source code can be found at . TIMESTAMPS Search Sign

2017 National Guideline Clearinghouse (partial archive)

116. Local nerve blocks can improve outcomes for people with hip fracture

Local nerve blocks can improve outcomes for people with hip fracture Local nerve blocks can improve outcomes for people with hip fracture Discover Portal Discover Portal Local nerve blocks can improve outcomes for people with hip fracture Published on 26 September 2017 doi: Local nerve blocks around the time of hip fracture surgery reduced pain on movement within 30 minutes of injection. People had less need for opioid pain-relief and were quicker to mobilise after surgery. Also, one case (...) of pneumonia was prevented for every seven people given pain relief using a nerve block. By injecting local anaesthetics close to the nerves to relieve pain after a hip fracture, it is hoped that the need for opioids can be reduced and people might recover more quickly. Nerve blocks are not standard in UK hospitals for this. This updated Cochrane review identified 31 trials providing moderate to high-quality evidence. The benefits were small but could make a meaningful difference to the patient’s

2019 NIHR Dissemination Centre

117. Two types of anaesthesia are safe for hip and knee replacements but one may reduce the time spent in hospital by a few hours

Two types of anaesthesia are safe for hip and knee replacements but one may reduce the time spent in hospital by a few hours Two types of anaesthesia are safe for hip and knee replacements but one may reduce the time spent in hospital by a few hours Discover Portal Discover Portal Two types of anaesthesia are safe for hip and knee replacements but one may reduce the time spent in hospital by a few hours Published on 15 March 2016 doi: Neuraxial anaesthesia, administered around the nerves (...) in the spine, was found to be as safe as general anaesthesia for people undergoing total hip or knee replacements. This review found a similar risk of dying, infection, nerve damage and blood clots in people regardless of the type of anaesthesia. Hospital stay was reduced on average by 0.4 days in the neuraxial anaesthesia group, though the significance to patients or impact on costs was not explored. Using neuraxial anaesthesia took no longer to perform than general anaesthesia. Hip and knee replacements

2019 NIHR Dissemination Centre

118. Predictors of Clinically Suspected Intra-articular Hip Symptoms and Prevalence of Hip Pathomorphologies Presenting to Sports Medicine and Hip Preservation Orthopaedic Surgeons. (Abstract)

intra-articular and hip joint-related symptoms.A total of 998 hips (499 patients, 228 males, 271 females, mean age 38 years) presented to 2 orthopaedic surgeons with the diagnosis of hip pain. Patients were retrospectively identified as intra-articular and hip joint-related symptoms or extra-articular and non-hip joint-related symptoms based on history, examination, injection response, and diagnosis listed on clinical notes. A detailed morphologic evaluation of anteroposterior and 45° modified Dunn (...) Predictors of Clinically Suspected Intra-articular Hip Symptoms and Prevalence of Hip Pathomorphologies Presenting to Sports Medicine and Hip Preservation Orthopaedic Surgeons. The first purpose of the study was to evaluate the prevalence of various radiographic parameters and pathomorphologies for patients presenting with the diagnosis of hip pain. The second purpose of this study was to identify those pathomorphologies and radiographic parameters that were predictive of clinically suspected

2017 Arthroscopy

119. Diagnostic Accuracy of Imaging Modalities and Injection Techniques for the Diagnosis of Femoroacetabular Impingement/Labral Tear. (Abstract)

Diagnostic Accuracy of Imaging Modalities and Injection Techniques for the Diagnosis of Femoroacetabular Impingement/Labral Tear. Diagnosing femoroacetabular impingement/acetabular labral tear (FAI/ALT) and subsequently making a decision regarding surgery are based primarily on diagnostic imaging and intra-articular hip joint injection techniques of unknown accuracy.Summarize and evaluate the diagnostic accuracy and clinical utility of various imaging modalities and injection techniques (...) relevant to hip FAI/ALT.Systematic review with meta-analysis.A computer-assisted literature search was conducted of MEDLINE, CINAHL, and EMBASE databases using keywords related to diagnostic accuracy of hip joint pathologic changes. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were used for the search and reporting phases of the study. Quality assessment of bias and applicability was conducted using the Quality of Diagnostic Accuracy Studies (QUADAS) tool

2017 The American Journal of Sports Medicine

120. The Spread of Ultrasound-Guided Injectate From the Adductor Canal to the Genicular Branch of the Posterior Obturator Nerve and the Popliteal Plexus: A Cadaveric Study. (Abstract)

The Spread of Ultrasound-Guided Injectate From the Adductor Canal to the Genicular Branch of the Posterior Obturator Nerve and the Popliteal Plexus: A Cadaveric Study. The popliteal nerve plexus contributes to afferent knee-pain conduction. It is mainly formed by genicular branches from the posterior obturator and the tibial nerves, innervating the intra-articular and posterior knee region. A subinguinal obturator nerve block alleviates pain after total knee arthroplasty. Reduced hip adductor (...) motor function could be avoided by a posterior obturator nerve block inside the popliteal fossa.The aim of this study was to evaluate the spread of dye after a distal adductor canal (AC) injection to the popliteal fossa and coloring of the popliteal plexus and the genicular branch of the posterior obturator nerve by dissection. We also assessed the spread of dye into the popliteal fossa after a distal femoral triangle injection.Ten milliliters of dye was injected into the distal part of the AC in 10

2017 Regional Anesthesia and Pain Medicine

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