Ultrasound and fluoroscopy are unnecessary for injections into the arthritic hip

Int Orthop. 2015 Aug;39(8):1495-7. doi: 10.1007/s00264-014-2648-8. Epub 2015 Jan 16.

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.

MeSH terms

  • Adult
  • Aged
  • Anesthetics, Local / administration & dosage
  • Anti-Inflammatory Agents / administration & dosage*
  • Bupivacaine / administration & dosage
  • Female
  • Fluoroscopy
  • Humans
  • Injections, Intra-Articular
  • Lidocaine / administration & dosage
  • Male
  • Middle Aged
  • Osteoarthritis, Hip / diagnostic imaging
  • Osteoarthritis, Hip / prevention & control*
  • Pain Measurement
  • Retrospective Studies
  • Treatment Outcome
  • Triamcinolone Acetonide / administration & dosage
  • Ultrasonography

Substances

  • Anesthetics, Local
  • Anti-Inflammatory Agents
  • Lidocaine
  • Triamcinolone Acetonide
  • Bupivacaine