Effectiveness of Ultrasound Guided Intraarticular Injections with Lidocaine and Triamcinolone: A Retrospective Study of Primary Hip Injections
Maya Jurgens, Tarandeep Sidhu, Amir A Jamali Department of Orthopedic Surgery, Joint Preservation Institute, Walnut Creek, CA, USACorrespondence: Amir A Jamali, Department of Orthopedic Surgery, Joint Preservation Institute, 100 N. Wiget Lane, Suite 200, Walnut Creek, CA, USA, Email contact@hipandkn...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2025-08-01
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| Series: | Orthopedic Research and Reviews |
| Subjects: | |
| Online Access: | https://www.dovepress.com/effectiveness-of-ultrasound-guided-intraarticular-injections-with-lido-peer-reviewed-fulltext-article-ORR |
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| Summary: | Maya Jurgens, Tarandeep Sidhu, Amir A Jamali Department of Orthopedic Surgery, Joint Preservation Institute, Walnut Creek, CA, USACorrespondence: Amir A Jamali, Department of Orthopedic Surgery, Joint Preservation Institute, 100 N. Wiget Lane, Suite 200, Walnut Creek, CA, USA, Email contact@hipandknee.netBackground: Ultrasound guided hip injections have played a major role in the in-office diagnosis and treatment of a variety of traumatic and degenerative hip joint conditions. There is limited information as to the onset and duration of relief from these types of injections using a uniform medication combination.Hypothesis/Purpose: The purpose of the study is to evaluate the clinical characteristics of a population of patients undergoing ultrasound guided hip corticosteroid injections. We hypothesized that these injections have a low complication rate and a high degree of pain relief for patients.Study Design: Case Series.Methods: We performed a retrospective study on 117 first time hip intraarticular injections performed by one operator using a single ultrasound machine and using the identical technique. In all cases, the hip joint was injected with 4 mL of 1% lidocaine and triamcinolone 40mg. The preinjection pain score was available in 98 hips with a mean of 6.4 ± 1.9 (mean ± S.D).Results: 96% of patients had immediate improvement of pain (113/117). There were more right than left hips (67 vs 50) and more females than males (63 vs 54). The most common underlying diagnosis was osteoarthritis (53%). The relief duration was less than 3 months for most patients but longer than 6 months in 4 patients. Adverse outcomes were minimal with no infections and one allergic reaction.Conclusion: This series represents the largest series of first time hip intraarticular injections with lidocaine and triamcinolone. This regimen has a high probability of immediate pain relief and low complications based on this series of patients.Keywords: ultrasound guidance, intraarticular injection, femoroacetabular impingement, corticosteroid, hip osteoarthritis |
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| ISSN: | 1179-1462 |