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Hip Injection

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161. 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

162. 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

163. 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

164. Hip Injection

Hip Injection Hip 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 Hip Injection Hip Injection Aka: Hip Injection , Hip Intra (...) -articular injection II. Sites: Hip Joint Usually performed under fluoroscopy Needle: 20 gauge (2.5 - 3.0 inch spinal needle) : 40-80 mg 1%: 5 ml III. Site: Trochanteric bursa See Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Hip Injection." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Procedure About FPnotebook.com is a rapid access

2015 FP Notebook

165. The Effectiveness of Autologous Platelet-Rich Plasma for Osteoarthritis of the Hip: A Retrospective Analysis. (Abstract)

-articular hip PRP injection. Outcomes were measured at baseline, two weeks, three months, and up to six months using the visual analog scale (VAS) for pain and the Hip Disability and Osteoarthritis Outcome Score (HOOS). The proportion of responders, as defined by a ≥50% reduction in VAS pain score, was assessed at three and six months.At two weeks, there was a significant improvement (P < 0.05) of function in two HOOS subscales: Symptoms and Activities of Daily Living. There was a significant (...) The Effectiveness of Autologous Platelet-Rich Plasma for Osteoarthritis of the Hip: A Retrospective Analysis. Platelet-rich plasma (PRP) is a minimally invasive treatment option to reduce pain and promote tissue healing. At the time this study was performed, there was limited published literature analyzing outcomes for patients treated with PRP for hip osteoarthritis.Thirty-six patients aged 49-85 (66.0 ± 12.1) years with chronic hip pain who met inclusion criteria underwent image-guided intra

2019 Pain Medicine

166. Fascia iliaca block in the emergency department for hip fracture: a randomized, controlled, double-blind trial. Full Text available with Trip Pro

from hip fracture.Thirty ASA I-III hip fracture patients over 70 years old, who received prehospital morphine, were randomized to receive either a fascia iliaca block using 30 ml of bupivacaine 0.5% with epinephrine 1:200,000 or a sham injection with normal saline. The fascia iliaca block was administered by emergency medicine physicians trained to perform an anatomic landmark-based technique. The primary outcome was the comparison between groups of the longitudinal pain score profiles at rest over (...) Fascia iliaca block in the emergency department for hip fracture: a randomized, controlled, double-blind trial. Hip fracture causes moderate to severe pain and while fascia iliaca block has been reported to provide analgesic benefit, most previous trials were unblinded, with subsequent high risks of performance, selection and detection biases. In this randomized, control double-blind trial, we tested the hypothesis that a fascia iliaca block provides effective analgesia for patients suffering

2019 BMC Geriatrics Controlled trial quality: predicted high

167. 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

168. 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

169. Anesthesia and Analgesia Practices in Total Joint Arthroplasty: A Survey of the American Association of Hip and Knee Surgeons Membership. (Abstract)

surgeon members of AAHKS in November 2018.There were 622 responses (28.2%) to the survey. A majority of respondents (93.2%, n = 576) use preemptive analgesia prior to total joint arthroplasty. Most respondents use a spinal for total knee arthroplasty (TKA) (74.4%) and total hip arthroplasty (THA) (72.6%). A peripheral nerve block is routinely used by 68.7% of respondents in primary TKA. Periarticular injection or local infiltration anesthesia is routinely used by 80.3% of respondents for both TKA (...) Anesthesia and Analgesia Practices in Total Joint Arthroplasty: A Survey of the American Association of Hip and Knee Surgeons Membership. The purpose of this study is to survey the current analgesia and anesthesia practices used by total joint arthroplasty surgeon members of the American Association of Hip and Knee Surgeons (AAHKS).A survey of 28 questions was created and approved by the AAHKS Research Committee. The survey was distributed to all 2208 board-certified adult reconstruction

2019 Journal of Arthroplasty

170. 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

171. Editorial Commentary: The Truth about Peripheral Nerve Blocks and Hip Arthroscopy. Full Text available with Trip Pro

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

172. Local infiltration analgesia or femoral nerve block for postoperative pain management in patients undergoing total hip arthroplasty. A randomized, double-blind study. (Abstract)

consumption compared to femoral nerve block without causing significant side effects. The superior analgesia in the LIA group may result from the secondary injection at 23h postoperatively and needs to be further evaluated in future studies. No differences were found in home discharge, quality of life and hip dysfunction between the groups.Local infiltration analgesia is the preferred method for postoperative pain management following THA compared to single-shot femoral nerve block.Copyright © 2017 (...) Local infiltration analgesia or femoral nerve block for postoperative pain management in patients undergoing total hip arthroplasty. A randomized, double-blind study. Several methods for pain management following total hip arthroplasty (THA) have been described but the best postoperative pain management technique remains uncertain. We compared surgeon applied local infiltration analgesia (LIA) with anaesthesiologist performed femoral nerve block (FNB) using ultrasound. The primary aim

2019 Scandinavian journal of pain Controlled trial quality: predicted high

173. Local Anesthetic Wound Infiltration after Osteosynthesis of Extracapsular Hip Fracture Does Not Reduce Pain or Opioid Requirements: A Randomized, Placebo-Controlled, Double-Blind Clinical Trial in 49 Patients. Full Text available with Trip Pro

osteosynthesis of extracapsular hip fracture.Forty-nine patients undergoing osteosynthesis with a sliding hip screw were randomized into two groups in a double-blind study (ClinicalTrials.gov:NCT01119209). The patients received intraoperative infiltration followed by 6 postoperative injections through a wound catheter in eight-hour intervals. 23 patients received ropivacaine and 26 received saline. The intervention period was 2 days, and the observation period was 5 days. In both groups, there were (...) Local Anesthetic Wound Infiltration after Osteosynthesis of Extracapsular Hip Fracture Does Not Reduce Pain or Opioid Requirements: A Randomized, Placebo-Controlled, Double-Blind Clinical Trial in 49 Patients. Local infiltration analgesia (LIA) supports early mobilization after hip and knee arthroplasty. Inspired by this, we studied the effectiveness of wound infiltration with the long acting local anesthetic ropivacaine in an effort to decrease the need for postoperative opioids after

2019 Pain research & management Controlled trial quality: uncertain

174. Intra-articular botulinum toxin A (BoNT/A) for pain management in dogs with osteoarthritis secondary to hip dysplasia: a randomized controlled clinical trial. Full Text available with Trip Pro

Intra-articular botulinum toxin A (BoNT/A) for pain management in dogs with osteoarthritis secondary to hip dysplasia: a randomized controlled clinical trial. The aim of this study was to evaluate the efficacy and safety of the intra-articular (IA) injection of botulinum toxin type A (BoNT/A) to the management of chronic pain in dogs. In a randomized, controlled, double-blinded study sixteen dogs with osteoarthritis secondary to hip dysplasia were distributed into two groups: 25 IU BoNT/A (BoNT (...) observed in both groups during 90 days after IA therapy in the owner assessments (P<0.001). Compared with baseline, the Vet score was lower from 15-90 days after IA injection in the BoNT group, and at 15 and 30 days in the Control group (P<0.001). Both treatments were safe and reduced the clinical signs associated with hip osteoarthritis. However, IA BoNT/A (25 IU) did not provide better pain relief than the control treatment.

2019 The Journal of Veterinary Medical Science

175. Paramedics' experiences of administering fascia iliaca compartment block to patients in South Wales with suspected hip fracture at the scene of injury: results of focus groups. Full Text available with Trip Pro

and trained in a feasibility study about an alternative to routine prehospital pain management for patients with suspected hip fracture.11 paramedics.Paramedic-administered FICB to patients with suspected hip fracture. We randomly allocated eligible patients to FICB, a local anaesthetic injection directly into the hip region-or usual care, most commonly morphine - using audited scratch cards.Paramedics' experiences of administering FICB gathered through thematic analysis of interview transcripts by two (...) Paramedics' experiences of administering fascia iliaca compartment block to patients in South Wales with suspected hip fracture at the scene of injury: results of focus groups. To explore paramedics' experience of delivering fascia iliaca compartment block (FICB) to patients with suspected hip fracture at the scene of injury.Focus groups within a randomised controlled trial.Paramedics based at ambulance stations in the catchment area of one Emergency Department in South Wales, recruited

2019 BMJ open Controlled trial quality: uncertain

176. Normative Data of the Hip Disability and Osteoarthritis Outcome Score, JR in a Healthy United States Population. (Abstract)

Normative Data of the Hip Disability and Osteoarthritis Outcome Score, JR in a Healthy United States Population. Patient-reported outcome measures (PROMs) play a vital role in the care we provide our patients. To help understand the application of PROMs in arthroplasty, normative and benchmark data to serve as a comparison to patients presurgery and postsurgery would be extremely valuable. We collected normative data of the Hip Disability and Osteoarthritis Outcome Score (HOOS), JR on a healthy (...) population, greater than 17 years of age, in the United States devoid of hip injury and/or surgery.This is a cross-sectional study, where hard copy surveys were administered to 1140 patients, being seen for an orthopedic issue unrelated to their hip, and nonpatient visitors in July 2018 at an outpatient orthopedic clinic in a suburban metropolitan city. Participants were eligible if they self-reported a medical history negative for hip arthroplasty, current hip pain/disability, or hip procedure (surgery

2019 Journal of Arthroplasty

177. OMERACT Hip Inflammation Magnetic Resonance Imaging Scoring System (HIMRISS) Assessment in Longitudinal Study. (Abstract)

OMERACT Hip Inflammation Magnetic Resonance Imaging Scoring System (HIMRISS) Assessment in Longitudinal Study. To assess reliability, feasibility, and responsiveness of Hip Inflammation Magnetic resonance imaging Scoring System (HIMRISS) for bone marrow lesions (BML) in hip osteoarthritis (OA).HIMRISS was scored by 8 readers in 360 hips of 90 patients imaged pre/post-hip steroid injection. Pre-scoring, new readers trained online to achieve intraclass correlation coefficient (ICC) > 0.80 versus (...) experts.HIMRISS reliability was excellent for BML status (ICC 0.83-0.92). Despite small changes post-injection, reliability of BML change scores was high in femur (0.76-0.81) and moderate in acetabulum (0.42-0.56).HIMRISS should be a priority for further assessment of hip BML in OA, and evaluated for use in other arthropathies.

2019 Journal of Rheumatology

178. Preoperative botulinum neurotoxin A for children with bilateral cerebral palsy undergoing major hip surgery: a randomized double-blind placebo-controlled trial. Full Text available with Trip Pro

either BoNT-A or placebo injections into the muscles of the hip on a single occasion immediately before surgery. The primary outcome was the paediatric pain profile (PPP), which was assessed at baseline and weekly for 6 weeks. Treatment allocation was by minimization. Participants, clinicians, and outcome assessors were masked to group assignment.Twenty-seven participants (17 males, 10 females; mean 8y 8mo [SD 3y 9mo], range 3y 4mo-15y 10mo) were allocated to BoNT-A and 27 participants (14 males, 13 (...) Preoperative botulinum neurotoxin A for children with bilateral cerebral palsy undergoing major hip surgery: a randomized double-blind placebo-controlled trial. To assess whether preoperative botulinum neurotoxin A (BoNT-A) affects pain after major hip surgery for children with bilateral cerebral palsy (CP).This was a randomized, parallel arms, placebo-contolled trial. Children with hypertonic CP aged 2 to 15 years awaiting bony hip surgery at a tertiary hospital were randomized to receive

2019 Developmental Medicine and Child Neurology Controlled trial quality: predicted high

179. Editorial Commentary: Subspine Hip Abnormalities: Exploring the Difference Between "Morphology" and "Impingement". Full Text available with Trip Pro

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

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

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

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