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Ultrasound-guided hip joint injection

1,840 bytes added, 18:51, 21 March 2019
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[[File:Hip prosthesis components.jpg|thumb|160px|Main components of a hip prosthesis<ref>{{cite web|url=http://illumin.usc.edu/61/total-hip-replacement/|title=Total Hip Replacement|website=University of Southern California|author=Andrew Still|date=2002-11-02|accessdate=2017-01-05}}</ref>]]
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|author1=[[User:Mikael Häggström|Mikael Häggström]]
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==Planning==
===Choice of modality===
[[Ultrasonography]] is generally superior for injections in the [[hip joint]], because of portability, lack of ionizing radiation and real-time visualisation of soft tissues and neurovascular structures.<ref name="YeapRobinson2017">Initially largely copied from: {{cite journal|last1=Yeap|first1=Phey Ming|last2=Robinson|first2=Philip|title=Ultrasound Diagnostic and Therapeutic Injections of the Hip and Groin|journal=Journal of the Belgian Society of Radiology|volume=101|issue=S2|year=2017|issn=2514-8281|doi=10.5334/jbr-btr.1371}}<br>[https://creativecommons.org/licenses/by/4.0/ Creative Commons Attribution 4.0 International License (CC-BY 4.0)]</ref>

===Injectate===
For pain relief in [[osteoarthritis]], for example:
*Local anesthetic
:*300mg lidocaine (such as 3 ml of 10%)
:*30mg mepivacaine (such as 3 ml of 1% Carbocaine)
:*25mg bupivacaine (such as 5ml of Marcaine 0.5%)<ref name="AndersonHerring2013">{{cite journal|last1=Anderson|first1=Erik|last2=Herring|first2=Andrew|last3=Bailey|first3=Caitlin|last4=Mantuani|first4=Daniel|last5=Nagdev|first5=Arun|title=Ultrasound-guided Intraarticular Hip Injection for Osteoarthritis Pain in the Emergency Department|journal=Western Journal of Emergency Medicine|volume=14|issue=5|year=2013|pages=505–508|issn=1936900X|doi=10.5811/westjem.2013.2.13966}}</ref>

*Cortisone, for example:
:*40mg triamcinolone (such as 1ml of 40 mg/ml)<ref name="AndersonHerring2013"/>

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