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Hip Injection

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161. Randomised controlled trial: Epidural steroid injections are not effective for patients with lumbar spinal stenosis

were randomly assigned to either a standard ESI (glucocorticoids) with lidocaine, or an injection of lidocaine alone, with potential for a repeat study injection at 3 weeks. Twenty-six anaesthesiologists, physiatrists and radiologists experienced in epidural injections from 16 US sites performed the procedures. The primary outcomes assessed at 6 weeks were an average pain rating for buttock, hip or leg pain in the past week and functional impairment measured by the Roland-Morris Disability (...) Randomised controlled trial: Epidural steroid injections are not effective for patients with lumbar spinal stenosis Epidural steroid injections are not effective for patients with lumbar spinal stenosis | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal

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2015 Evidence-Based Medicine (Requires free registration)

162. Changes in proinflammatory cytokines, neuropeptides and microglia in an animal model of monosodium iodoacetate-induced hip osteoarthritis. (PubMed)

Changes in proinflammatory cytokines, neuropeptides and microglia in an animal model of monosodium iodoacetate-induced hip osteoarthritis. The aim of this study was to investigate the local production of proinflammatory cytokines, pain-related sensory innervation of dorsal-root ganglia (DRG), and spinal changes in a rat model of induced hip osteoarthritis (OA). Seventy-five Sprague-Dawley rats were used, including 25 controls and 50 injected into the right hip joints (sham group, injected (...) with 25 µl of sterile saline: N = 25; and monosodium iodoacetate (MIA) group, injected with 25 µl of sterile saline with 2 mg of MIA: N = 25). We measured the local production of TNF-α, immunoreactive (-ir) neurons for calcitonin gene-related peptide (CGRP), and growth associated protein-43 (GAP-43) in DRG, and immunoreactive neurons for ionized-calcium-binding adaptor molecule-1 (Iba-1) in the dorsal horn of spinal cord, on post-induction days 7, 14, 28, 42, and 56 (N = 5 rats/group/time point

2018 Journal of Orthopaedic Research

163. Stem Cells Combined With Platelet-rich Plasma Effectively Treat Corticosteroid-induced Osteonecrosis of the Hip: A Prospective Study. (PubMed)

Stem Cells Combined With Platelet-rich Plasma Effectively Treat Corticosteroid-induced Osteonecrosis of the Hip: A Prospective Study. Randomized trials have shown the benefits of injecting bone marrow-derived mesenchymal stem cells (BmMSCs) after standard hip decompression in patients with osteonecrosis of the femoral head. However, the combination of BmMSCs and platelet-rich plasma (PRP) injected into the femoral head after decompression has not been reported previously. This study reports (...) % CI, 55%-79%), and 93% (95% CI, 76%-98%), respectively, at 3 years postoperatively; two patients (four hips) underwent a second decompression and MSC injection for persistent pain without signs of radiographic collapse. All patients with collapse underwent THA. The mean modified Kerboul angle improved from 205° ± 47° to 172° ± 48° postoperatively (mean change -30° ± 6°, p = 0.01). A greater proportion of patients who underwent an additional procedure had a modified Kerboul grade of 3 or 4

2018 Clinical Orthopaedics and Related Research

164. Extracapsular local infiltration analgesia in hip arthroscopy: a retrospective study (PubMed)

arthroscopy is unclear. The purpose of this retrospective study is to determine the efficacy of a single extracapsular injection of bupivacaine-epinephrine during hip arthroscopy in reducing the rate of elective postoperative femoral nerve blocks. A retrospective review of 100 consecutive patients who underwent primary hip arthroscopy at a single medical center was performed. The control group consisted of 50 patients before the implementation of the current LIA protocol, whereas another 50 patients (...) Extracapsular local infiltration analgesia in hip arthroscopy: a retrospective study Many hip arthroscopy patients experience significant pain in the immediate postoperative period. Although peripheral nerve blocks have demonstrated efficacy in alleviating some of this pain, they come with significant costs. Local infiltration analgesia (LIA) may be a significantly cheaper and efficacious treatment modality. Although LIA has been well studied in hip and knee arthroplasty, its efficacy in hip

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2018 Journal of hip preservation surgery

165. Silicone-Induced Foreign Body Reaction: An Unusual Differential Diagnosis of Posterolateral Hip Pain (PubMed)

Silicone-Induced Foreign Body Reaction: An Unusual Differential Diagnosis of Posterolateral Hip Pain Silicone injection is commonly used for soft tissue augmentation for esthetic purposes. It is not without complications.We present a case of a 31-year-old woman presenting with refractory left lateral hip pain. Magnetic resonance imaging of the patient's pelvis revealed innumerable small low signal foci throughout the gluteus maximus and overlying subcutaneous fat bilaterally consistent (...) with injectable material, possibly silicone.This case report emphasizes that silicone-induced granulomatosis must be considered in the differential diagnosis of hip pain when evaluating a patient who has had access to plastic surgery or clandestine operators.

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2018 Case reports in medicine

166. Blood-saving Effect of Combined Intravenous Tranexamic Acid With Topical Floseal® Application Total Hip Arthroplasty

Blood-saving Effect of Combined Intravenous Tranexamic Acid With Topical Floseal® Application Total Hip Arthroplasty Blood-saving Effect of Combined Intravenous Tranexamic Acid With Topical Floseal® Application Total Hip Arthroplasty - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Blood-saving Effect of Combined Intravenous Tranexamic Acid With Topical Floseal® Application Total Hip Arthroplasty The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2018 Clinical Trials

167. Optimization of Analgesia for Hip Fracture Patients

by (Responsible Party): University Health Network, Toronto Study Details Study Description Go to Brief Summary: Hip Fracture is a common orthopedic emergency in elderly people, which causes moderate to severe pain. Until now, different methods of pain treatment have been used, including pain-killer medication, which given in to the vein, and a nerve block.. A nerve block is the defined as injection of a freezing/numbing medication (local anesthetic) around the nerve area in order to stop pain. Painkiller (...) medications by themselves are not enough to stop pain, especially the pain that start with movement. At the Toronto Western hospital, patients with hip fracture will generally receive a fascia iliac block (FIB) within 24 hours of hospital admission as a standard of care. Fascia iliaca block is a nerve block done by injecting local anestheticat the level of the groin. This done to provide pain relief and is done either in the emergency room or in the inpatient area. Studies have shown that nerves supplying

2018 Clinical Trials

168. Physiotherapy, Nutritional Supplement and Anabolic Steroids in Rehabilitation of Patients With Hip Fracture.

-rich nutritional supplement plus placebo. Condition or disease Intervention/treatment Phase Hip Fractures Drug: Nandrolone Decanoate Dietary Supplement: Protein-rich nutritional supplement Other: Physical therapy Drug: Sodium Chloride 9mg/ml Injection Phase 2 Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 48 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Quadruple (Participant, Care (...) Physiotherapy, Nutritional Supplement and Anabolic Steroids in Rehabilitation of Patients With Hip Fracture. Physiotherapy, Nutritional Supplement and Anabolic Steroids in Rehabilitation of Patients With Hip Fracture. - 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

2018 Clinical Trials

169. Autologous Culture Expanded Adipose Derived MSCs for Treatment of Painful Hip OA

Posted : November 6, 2018 See Sponsor: Mayo Clinic Information provided by (Responsible Party): Aaron Krych, Mayo Clinic Study Details Study Description Go to Brief Summary: Will injection(s) of autologous culture-expanded AMSCs be safe and efficacious for treatment of painful Hip OA, and if so, which dosing regimen is most effective? Condition or disease Intervention/treatment Phase Osteoarthritis, Hip Drug: Autologous Adipose Derived Mesenchymal Stromal Cells Phase 1 Detailed Description (...) : This phase I study will enroll 24 subjects with mild to moderate osteoarthritis of the hip. Subjects will receive either a single dose of 30 million autologous culture-expanded adipose-derived mesenchymal stromal cells (AMSCs), or two doses of AMSCs (with one month interval between doses) via ultrasound guided intra-articular hip injection. Patients will be followed for 24 months past their last injection to determine the local and systemic safety of single and two-dose injections of AMSCs

2018 Clinical Trials

170. Nonarthritic Hip Disease Evaluation And Treatment

Pattern Training No Intervention: 3-week Wait Period Participants will undergo a 3-week wait period. They will be instructed to not receive any treatment (e.g. chiropractic services, physical therapy, medication, surgery, injections) for their hip symptoms during this time. Observational Arm Participants who refuse randomization to receive posture and movement training may continue participation in an observational group. These participants complete the same baseline and follow-up testing but proceed (...) Nonarthritic Hip Disease Evaluation And Treatment Nonarthritic Hip Disease Evaluation And Treatment - 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. Nonarthritic Hip Disease Evaluation And Treatment (NEAT

2018 Clinical Trials

171. Hip Fracture Exparel Administration Trial Capsule During Hemiarthroplasty

on postoperative pain following hip fracture surgery. This is a single center, randomized prospective double blinded study of 50 patients with hip fractures that will have intracapsular hip hemiarthroplasties and are 65 years or older. Twenty-five patients will be treated with intraoperative injections of Exparel. Current standard of care does not include any injection of pain medication during hip hemiarthroplasty. There is no 'standard treatment', but to use multimodal IV and oral analgesia. The control (...) group consisting of the remaining 25 patients will receive 'standard treatment' (which is is multimodal IV and oral analgesia). Therefore, saline is the appropriate placebo and control injection for this study. There are minimal to no risks associated with the injection of saline into the soft tissues about the hip and will take <2 minutes to complete. The surgeries will be performed by five surgeons who will use their standard treatment or in the interventional group participants will relieve 20 cc

2018 Clinical Trials

172. Ultrasound Guided Quadratus Lumborum Block for Post Operative Analgesia After Hip Arthroplasty

, posterior, and intramuscular). Anterior quadratus lumborum block also known as transmuscular QL block or QL3, the local anaesthetic (30ml of bupivacaine 0.375%) is injected between the psoas major muscle (PM) and the quadratus lumborum muscle (QL). Therefore, the anterior quadratus lumborum block may generate analgesia from T10 to L4 covering the sensory innervation of the hip region. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment (...) Block for Post Operative Analgesia After Hip Arthroplasty Estimated Study Start Date : September 2018 Estimated Primary Completion Date : January 2019 Estimated Study Completion Date : March 2019 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: QL group Anterior Quadratus lumborum block will be done for all patients of these group. Local anaesthetic (30ml of bupivacaine) will be injected in fascial plane

2018 Clinical Trials

173. Peri-operative Vasopressor Support in Patients Operated for an Acute Hip Fracture (AHF)

with an acute hip fracture (AHF) noting confounding factors and the usage of vasopressors either by injections or infusions and then correlated these results to mortality at 30-, 90- and 365- days Condition or disease Hip Fractures Intraoperative Hypotension Detailed Description: The incidence of hypotension perioperatively during operation of an acute hip fracture is unknown. As a surrogate factor the usage of vasopressor support is more adequate as the registration of vasopressor drugs are many times (...) not complete in records. The investigators retrospectively investigated the anesthetic journals of 1100 patients with an acute hip fracture (AHF) noting confounding factors and the usage of vasopressors either by injections or infusions and then correlated these results to mortality at 30-, 90- and 365-days Confounding factors were; all comorbitity, age, ASA grade as well as type of anesthesia Study Design Go to Layout table for study information Study Type : Observational Actual Enrollment : 997

2018 Clinical Trials

174. SCP Hip Outcomes Study

Estimated Enrollment : 100 participants Observational Model: Cohort Time Perspective: Other Official Title: A Longitudinal Outcomes Study of the Subchondroplasty® Procedure in the Hip Actual Study Start Date : March 27, 2018 Estimated Primary Completion Date : March 2022 Estimated Study Completion Date : March 2025 Groups and Cohorts Go to Intervention Details: Device: Subchondroplasty Procedure with AccuFill Injection of the commercially available flowable calcium phosphate (CaP) synthetic bone-void (...) SCP Hip Outcomes Study SCP Hip Outcomes 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. SCP Hip Outcomes Study The safety and scientific validity of this study is the responsibility of the study

2018 Clinical Trials

175. The Role of Nerve Blocks in Hip Arthroscopy

/treatment Phase Femoroacetabular Impingement Drug: Ropivacaine injection Drug: Saline Solution for Injection Phase 4 Detailed Description: The popularity of arthroscopic hip surgery has increased greatly over the last 10 years, particularly for correcting Femoroacetabular Impingement (FAI). FAI is a structural abnormality of the proximal femur, the acetabulum, or both. It is a leading cause of labral tears in the hip joint and can cause cartilage damage, which may increase subsequent risk of developing (...) surgery. However, several case studies of a single-injection QL block in hip replacement surgeries have been successful in minimizing pain and opioid use while sparing motor function and avoiding the muscle weakness that can lead to falls. In the approach utilized in these cases, local anesthetic was injected at the anterolateral border of the QL muscle to achieve analgesia ranging from the T6-T10 through L3 dermatomes. One group has anecdotally reported great success in using these QL blocks

2018 Clinical Trials

176. Lumbar Erector Spinae Plane Block and Quadratus Lumborum Block in Hip and Proximal Femur Surgeries

Lumbar Erector Spinae Plane Block and Quadratus Lumborum Block in Hip and Proximal Femur Surgeries Lumbar Erector Spinae Plane Block and Quadratus Lumborum Block in Hip and Proximal Femur Surgeries - 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. Lumbar Erector Spinae Plane Block and Quadratus Lumborum Block in Hip and Proximal Femur Surgeries 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: NCT03508544 Recruitment Status : Completed First Posted : April 25, 2018 Last Update Posted : June 7, 2018 Sponsor

2018 Clinical Trials

177. Effect of Buglossoides Oil on Recent Chronic Non-injurious Hip and Knee Pain

Effect of Buglossoides Oil on Recent Chronic Non-injurious Hip and Knee Pain Effect of Buglossoides Oil on Recent Chronic Non-injurious Hip and Knee Pain - 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 (...) . Effect of Buglossoides Oil on Recent Chronic Non-injurious Hip and Knee Pain 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03576625 Recruitment Status : Recruiting First Posted : July 3, 2018 Last Update Posted : July 3

2018 Clinical Trials

178. Quadratus Lumborum Block Versus Fascia Iliaca Nerve Block for Patients Undergoing Total Hip Replacement

injection Transmuscular Quadratus Lumborum (TQL) block, when compared to a single injection Fascia Iliaca Block (FIB), will provide better analgesia and less motor block in the initial 24 hour period. Condition or disease Intervention/treatment Phase Hip Replacement Procedure: TQL Procedure: FIB Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 50 participants Allocation: Randomized Intervention Model: Parallel (...) Quadratus Lumborum Block Versus Fascia Iliaca Nerve Block for Patients Undergoing Total Hip Replacement Quadratus Lumborum Block Versus Fascia Iliaca Nerve Block for Patients Undergoing Total Hip Replacement - 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

2018 Clinical Trials

179. Continuous Fascia Iliaca Block for Acute Hip Fractures

Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Adults age greater than or equal to 65 years old with acute hip fracture Exclusion Criteria: ASA greater than or equal to 4 Open fractures Other concomitant injuries that may interfere with positioning or pain scores Local anesthetic allergy Delirium at the time of consent Pre-existing cognitive impairment Infection at the site of injection for cFIB Previous surgery in femoral triangle Warfarin or Anti-Xa inhibitor use Long-term opioid use (...) Continuous Fascia Iliaca Block for Acute Hip Fractures Continuous Fascia Iliaca Block for Acute Hip Fractures - 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. Continuous Fascia Iliaca Block for Acute Hip

2018 Clinical Trials

180. A Mindfulness Program (MBSR) in the Management of Symptomatic Hip and Knee Osteoarthritis

(Kellgren and Lawrence X-ray stage ≥ 2) Mean pain VAS on at least one reference joint (knee or hip)> 40 mm during the last week Stable treatment with analgesics for at least a week Exclusion Criteria: Corticosteroids (oral or injectable) in the month prior to inclusion Intra-articular injection of hyaluronic acid in the last 3 months prior to inclusion Inflammatory rheumatic disease (rheumatoid arthritis, spondyloarthritis, CCPD) Current depressive episode Psychotic disorders Usual practice (...) A Mindfulness Program (MBSR) in the Management of Symptomatic Hip and Knee Osteoarthritis A Mindfulness Program (MBSR) in the Management of Symptomatic Hip and 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 remove one or more

2018 Clinical Trials

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