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Hip Injection

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141. Observational Study With NOVOCART ® Inject in the Reconstruction of the Hip Joint With Full Thickness Cartilage Defects

Observational Study With NOVOCART ® Inject in the Reconstruction of the Hip Joint With Full Thickness Cartilage Defects Observational Study With NOVOCART® Inject in the Reconstruction of the Hip Joint With Full Thickness Cartilage Defects - 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. Observational Study With NOVOCART® Inject in the Reconstruction of the Hip Joint With Full Thickness Cartilage Defects (HIP-ACTION) 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: NCT02179346 Recruitment Status

2014 Clinical Trials

142. Clinical Results of Hip Arthroscopy for Labral Tears: A Comparison Between Intraoperative Platelet-Rich Plasma and Bupivacaine Injection. (Abstract)

Clinical Results of Hip Arthroscopy for Labral Tears: A Comparison Between Intraoperative Platelet-Rich Plasma and Bupivacaine Injection. The purpose of this prospective comparative study was to evaluate the effect of intraoperative platelet-rich plasma (PRP) injection on the outcomes of patients undergoing hip arthroscopy for labral treatment.During the period from November 2010 through March 2012, all patients undergoing hip arthroscopy for labral tears were considered for this study (...) . The study group received intra-articular PRP at the end of the operation, and the control group received an intra-articular injection of 0.25% bupivacaine. Selection for the study group was based on the day of the week on which the patient underwent surgery. The protocol included administration of 4 hip-specific patient-reported outcome tools. Patients also reported their pain score on a visual analog scale from 0 to 10. Scores were recorded at the preoperative visit and at 3 months and 2 years

2014 Arthroscopy

143. 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

144. Joint Injection

-term or long-term relief No evidence available for short-term or long-term relief Weak evidence of good short-term and fair long-term relief Fair evidence of good short-term and fair long-term relief Hip Fair evidence of good short-term and fair long-term relief Fair evidence of good short-term but poor long-term relief Injection Morton Neuroma No evidence available for short-term or long-term relief References XI. References Images: Related links to external sites (from Bing) These images (...) Joint Injection Joint Injection Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Joint Injection Joint Injection Aka: Joint Injection

2018 FP Notebook

145. Trochanteric Bursa Injection

Trochanteric Bursa Injection Aka: Trochanteric Bursa Injection II. Indication III. Efficacy Single injection associated with 2.7 fold increase in those pain-free at 5 years IV. Preparation Needle Gauge: 22-25 Length: 1.5 inch (3.0 inch spinal needle if obese) Intraarticular : 1 ml of 40 mg/ml or (Celestone Soluspan): 1 ml 1%: 5 ml V. Technique Patient in lateral recumbent position Hip flexed to 30-50 degrees flexed to 60-90 degrees Palpate greater trochanter area for maximal tenderness Mark areas (...) Trochanteric Bursa Injection Trochanteric Bursa Injection Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Trochanteric Bursa Injection

2018 FP Notebook

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

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

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

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

148. Joint aspiration, including culture of reaspirated saline after a `dry tap`, is sensitive and specific for the diagnosis of hip and knee prosthetic joint infection (Abstract)

Joint aspiration, including culture of reaspirated saline after a `dry tap`, is sensitive and specific for the diagnosis of hip and knee prosthetic joint infection The aim of this study was to establish the diagnostic accuracy of culture of joint aspirate with and without saline injection-reaspiration.This is a retrospective analysis of 580 hip and knee aspirations in patients who were deemed to have a moderate to high risk of infection, and who subsequently proceeded to revision arthroplasty (...) over a period of 12 years. It was carried out at a large quaternary referral centre where preoperative aspiration is routine.Fluid was aspirated primarily in 313 (54%) cases and after saline injection-reaspiration of a 'dry tap' in 267 (46%) cases. Overall sensitivity and specificity of the diagnostic aspirate were 84% (78% to 89%) and 85% (81% to 88%), respectively. Sensitivity and specificity of saline injection-reaspiration after 'dry tap' were 87% (79% to 92%) and 79% (72% to 84%) compared

2018 EvidenceUpdates

149. Vascular Coloration for Anatomical Study of the Pelvis and Hip: Implications in Hip Preservation Surgery Full Text available with Trip Pro

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

150. Plasma, bone, hip capsule and drain fluid concentrations of ampicillin and flucloxacillin during total hip replacement after intravenous bolus injection of magnapen. Full Text available with Trip Pro

Plasma, bone, hip capsule and drain fluid concentrations of ampicillin and flucloxacillin during total hip replacement after intravenous bolus injection of magnapen. 1. A rapid intravenous bolus injection of 4.0 g Magnapen (which contains 2.0 g of ampicillin and 2.0 g of flucloxacillin) was to seven patients undergoing total hip replacement immediatly before induction of general anesthesia. Postoperatively the patients patients received 2.0 g Magnapen by intramuscular injection every 6 h for up (...) bone), and 211.1 +/- 65.6 microgram/g (ground up bone) respectively. 4. The mean +/- s.e. mean flucloxacillin concentrations after this regime were 137.2 +/- 28.4 microgram/ml (plasma), 61.8 +/- 15.0 microgram/g (hip capsule), 47.1 +/- 9.5 microgram/g (cancellous bone) and 139.4 +/- 21.8 microgram/g (ground up bone) respectively. 5. An intravenous bolus injection of Magnepen (4.0 g), given immediately before induction of general anaesthesia, provides concentrations of ampicillin and flucloxacillin

1978 British journal of clinical pharmacology

151. Therapeutic hip injections: is the injection volume important? (Abstract)

Therapeutic hip injections: is the injection volume important? To assess whether an increased volume of local anaesthetic injection given with intra-articular steroids improves symptom relief in osteoarthritis of the hip.One hundred and ten patients with hip osteoarthritis were randomized into two groups (A and B). All patients were given 40 mg triamcinolone and 2 ml bupivicaine, and patients from group B were also given 6 ml of sterile water for injection. Change in WOMAC (Western Ontario (...) between the two groups at 3 months. There was also no statistical difference in pain symptoms between the two groups during the study period, measured at 2 weekly intervals. One hundred and two patients reached the study endpoint; eight patients who had bilateral hip injections were subsequently included in the analysis, and these patients did not alter the findings significantly.Published total injection volumes used for treating osteoarthritis of the hip with intra-articular steroids vary from 3

2012 Clinical radiology Controlled trial quality: uncertain

152. 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 available with Trip Pro

, Australia.Individuals aged 35-70 years, with lateral hip pain for more than 3 months, at least 4/10 on the pain numerical rating scale, and gluteal tendinopathy confirmed by clinical diagnosis and MRI; 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 8 weeks (EDX; n=69), one corticosteroid injection (CSI; n=66), and a wait and see approach (WS; n=69 (...) 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 British Journal of Sports Medicine Controlled trial quality: predicted high

153. The PRECISION Survey: Preferences of Physicians Regarding Ultrasound-Guided Intra-Articular Injections. (Abstract)

injections of the knee, shoulder, and/or hip. After validation by the focus group, the final survey (28 questions) was e-mailed to members of the Canadian Academy of Sport and Exercise Medicine (N = 632).A total of 168 responses were received (26.6%). Nearly half of respondents rarely/never had access to UGII equipment (48.5%), and over half did not have adequate training in UGIIs (56.8%-68.8%). About half of respondents agreed that UGII improves accuracy in knee injections (50.9%); only 35.4% agreed (...) there was evidence to support UGII over non-ultrasound-guided intra-articular injections (NGIIs) of the knee. Physicians younger than 50 years were significantly more likely to use UGII for the knee and hip if they had better access to equipment (P < 0.0005 for both); they were more likely to use UGII for the knee if it was less time-consuming (P = 0.001).The majority of respondents are not using UGII for the knee or shoulder. Physicians may overestimate their accuracy in performing NGIIs. The biggest barriers

2018 Clinical Journal of Sport Medicine

154. Ultrasound-guided Intraarticular Hip Injection for Osteoarthritis Pain in the Emergency Department Full Text available with Trip Pro

Ultrasound-guided Intraarticular Hip Injection for Osteoarthritis Pain in the Emergency Department Ultrasound-guided intraarticular hip corticosteroid injections may be useful for emergency care providers treating patients with painful exacerbations of osteoarthritis of the hip. Corticosteroid injection is widely recommended as a first-line treatment for painful osteoarthritis of the hip. Bedside ultrasound is readily available in most emergency departments; however, using ultrasound to guide (...) therapeutic hip injections has not yet been described in emergency practice. Herein, we present the first description of a successful emergency physician-performed ultrasound-guided hip injection of local anesthetic and corticosteroid for pain control in a patient with an acute exacerbation of osteoarthritis.

2013 Western Journal of Emergency Medicine

155. A study of the usefulness of a periarticular multimodal drug cocktail injection for pain management after total hip arthroplasty. Full Text available with Trip Pro

A study of the usefulness of a periarticular multimodal drug cocktail injection for pain management after total hip arthroplasty. Measures for pain management after total hip arthroplasty (THA) are important for early improvement in the quality of life after operation and early postoperative rehabilitation. We investigated the analgesic effect of locally injected drugs around the total hip prosthesis.54 patients undergoing THA were randomized either to receive a periarticular intraoperative (...) injection of a 30-ml mixture containing morphine hydrochloride 10 mg, 0.5% bupivacaine 20 ml, epinephrine 0.3 mg, and saline 8.7 ml or to receive no injection. The perioperative analgesic regimen was standardized. The evaluation items included assessment of pain using a 100-point visual analog scale (VAS) after the patients awoke on the day of the operation and on postoperative day 1, the dose of diclofenac sodium suppository, the number of days for acquiring assisted ambulation with a walking cane

2013 Journal of orthopaedics Controlled trial quality: uncertain

156. The Anterior Approach for a Non-Image-Guided Intra-articular Hip Injection. (Abstract)

The Anterior Approach for a Non-Image-Guided Intra-articular Hip Injection. The purpose of this study was to investigate and validate the accuracy and safety of a technique using an anterior approach for non-image-guided intra-articular injection of the hip by use of anatomic landmarks.We enrolled 55 patients. Injections were performed before supine hip arthroscopy after landmarking and before application of traction. After the needle insertion, success was confirmed with an air arthrogram (...) and by direct visualization after arthroscope insertion. Accuracy and difficulty achieving correct needle placement were correlated with age, weight, height, body mass index, body type, gender, and surgical indication, as well as femoral and pelvic morphology. Forty-five patients who underwent injection in the office were followed up separately to document injection side effects. Needle placement accuracy was correlated to patients' demographics. All statistical tests with P values were 2 sided

2013 Arthroscopy

157. Ultrasound-guided injection for MR arthrography of the hip: comparison of two different techniques. (Abstract)

Ultrasound-guided injection for MR arthrography of the hip: comparison of two different techniques. The purpose of this study was to prospectively evaluate the two different ultrasound-guided injection techniques for MR arthrography of the hip.Fifty-nine consecutive patients (21 men, 38 women) referred for MR arthrographies of the hip were prospectively included in the study. Three patients underwent bilateral MR arthrography. The two injection techniques were quantitatively and qualitatively (...) compared. Quantitative analysis was performed by the comparison of injected contrast material volume into the hip joint. Qualitative analysis was performed with regard to extraarticular leakage of contrast material into the soft tissues. Extraarticular leakage of contrast material was graded as none, minimal, moderate, or severe according to the MR images. Each patient rated discomfort after the procedure using a visual analogue scale (VAS).The injected contrast material volume was less in femoral head

2013 Skeletal radiology Controlled trial quality: uncertain

158. 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

159. 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

160. 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

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