Ultrasound-guided hip joint injection

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File:Hip prosthesis components.jpg
Main components of a hip prosthesis[1]

Author: Mikael Häggström [notes 1]

Contents

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.[2]

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%)[3]
  • Cortisone, for example:
  • 40mg triamcinolone (such as 1ml of 40 mg/ml)[3]

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References

  1. Andrew Still (2002-11-02). Total Hip Replacement. University of Southern California. Retrieved on 2017-01-05.
  2. Initially largely copied from: Yeap, Phey Ming; Robinson, Philip (2017). "Ultrasound Diagnostic and Therapeutic Injections of the Hip and Groin ". Journal of the Belgian Society of Radiology 101 (S2). doi:10.5334/jbr-btr.1371. ISSN 2514-8281. 
    Creative Commons Attribution 4.0 International License (CC-BY 4.0)
  3. 3.0 3.1 Anderson, Erik; Herring, Andrew; Bailey, Caitlin; Mantuani, Daniel; Nagdev, Arun (2013). "Ultrasound-guided Intraarticular Hip Injection for Osteoarthritis Pain in the Emergency Department ". Western Journal of Emergency Medicine 14 (5): 505–508. doi:10.5811/westjem.2013.2.13966. ISSN 1936900X.