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Published in: International Orthopaedics 8/2015

01-08-2015 | Original Paper

Ultrasound and fluoroscopy are unnecessary for injections into the arthritic hip

Authors: Tom Schmidt-Braekling, Wenzel Waldstein, Lisa Renner, Alejandro Gonzales Della Valle, Jad Bou Monsef, Friedrich Boettner

Published in: International Orthopaedics | Issue 8/2015

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Abstract

Purpose

We investigated the effectiveness of non-image-guided hip injections.

Methods

We retrospectively evaluated 369 intra-articular hip injections in 331 patients using anatomical landmarks. The percentage and duration of pain relief was documented. Hip injections were grouped in responders and nonresponders (50 % maximum pain relief as a cut off).

Results

In 82% (n = 304) of hip injections, patients responded positively and experienced >50 % pain relief. Nonresponders had a significantly higher body mass index (p = 0.007).

Conclusions

Hip injections using anatomical landmarks are an effective treatment option for patients with osteoarthritis of the hip.
Literature
2.
go back to reference Crawford RW, Gie GA, Ling RS, Murray DW (1998) Diagnostic value of intra-articular anaesthetic in primary osteoarthritis of the hip. J Bone J Surg Br Vol 80:279–281CrossRef Crawford RW, Gie GA, Ling RS, Murray DW (1998) Diagnostic value of intra-articular anaesthetic in primary osteoarthritis of the hip. J Bone J Surg Br Vol 80:279–281CrossRef
5.
go back to reference Mei-Dan O, McConkey MO, Petersen B, McCarty E, Moreira B, Young DA (2013) The anterior approach for a non-image-guided intra-articular hip injection. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc 29:1025–1033. doi:10.1016/j.arthro.2013.02.014 CrossRef Mei-Dan O, McConkey MO, Petersen B, McCarty E, Moreira B, Young DA (2013) The anterior approach for a non-image-guided intra-articular hip injection. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc 29:1025–1033. doi:10.​1016/​j.​arthro.​2013.​02.​014 CrossRef
6.
go back to reference Ziv YB, Kardosh R, Debi R, Backstein D, Safir O, Kosashvili Y (2009) An inexpensive and accurate method for hip injections without the use of imaging. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis 15:103–105. doi:10.1097/RHU.0b013e318190fa20 Ziv YB, Kardosh R, Debi R, Backstein D, Safir O, Kosashvili Y (2009) An inexpensive and accurate method for hip injections without the use of imaging. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis 15:103–105. doi:10.​1097/​RHU.​0b013e318190fa20​
7.
go back to reference Deshmukh AJ, Panagopoulos G, Alizadeh A, Rodriguez JA, Klein DA (2011) Intra-articular hip injection: does pain relief correlate with radiographic severity of osteoarthritis? Skelet Radiol 40:1449–1454. doi:10.1007/s00256-011-1120-8 CrossRef Deshmukh AJ, Panagopoulos G, Alizadeh A, Rodriguez JA, Klein DA (2011) Intra-articular hip injection: does pain relief correlate with radiographic severity of osteoarthritis? Skelet Radiol 40:1449–1454. doi:10.​1007/​s00256-011-1120-8 CrossRef
9.
go back to reference C Mauffrey, P (2005) Hip joint injection technique using anatomic landmarks: are we accurate?: A prospective study. Internet J Orthop Surg 2005, vol 3 C Mauffrey, P (2005) Hip joint injection technique using anatomic landmarks: are we accurate?: A prospective study. Internet J Orthop Surg 2005, vol 3
Metadata
Title
Ultrasound and fluoroscopy are unnecessary for injections into the arthritic hip
Authors
Tom Schmidt-Braekling
Wenzel Waldstein
Lisa Renner
Alejandro Gonzales Della Valle
Jad Bou Monsef
Friedrich Boettner
Publication date
01-08-2015
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 8/2015
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-014-2648-8

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