146.
Ultrasound guided intra-articular injection in the hip joint – a helpful
tool in the outpatient clinic
Dhia Khalaf Al-Fadli, Zaid Saadi Al-Saadi, Niels Krarup Jensen
Orthopaedic Regional Hospital Viborg; Orthopaedic, Regional Hospital
Viborg; Orthopaedic, Regional Hospital Viborg
Background:
Intra-articular injections can be used in the evaluation and
treatment of hip disorders. These injections are typically performed with
fluoroscopic guidance. Ultrasound guided injection is a viable alternative for
intra-articular needle placement, and can be done in the outpatient clinic in an
easy and safe manner.
Purpose / Aim of Study:
The aim of this study is to evaluate the effect of an
ultrasound guided injection in the hip joint performed by an orthopaedic
surgeon in the orthopaedic outpatient clinic.
Materials and Methods:
Patients in the orthopaedic outpatient clinic with hip
pain, but without convincing clinical and radiological signs of osteoarthritis.
The ultrasound guided intra-articular injection with local anaesthetic and
steroid, was used as a tool to determine the origin of the patients hip pain. The
patients where seen at a clinical follow-up and further treatment where based
on effect of the intra-articular injection.
Findings / Results:
43
patients received ultrasound guided intra-articular
injection with local anaesthetic and steroid. At the follow-up 32 responded
with convincing pain relief. 20 patients proceeded to a hip replacement. 4
patients where referred to hip arthroscopy, 8 patients where satisfied with the
injection and did not want further treatment. All 20 patients who received a hip
replacement where seen at a 6 months follow-up. 19 had good pain relieve, and
1
moderate. No infection or other adverse effects where seen.
Conclusions:
Our results suggest that ultrasound guided intra –articular hip
injections can be a safe and helpful tool to evaluate hip disorders in the
orthopaedic outpatient clinic.
