Is Anesthetic Hip Joint Injection Useful in Diagnosing Hip Osteoarthritis? A Meta-Analysis of Case Series

被引：11
作者：
Dorleijn, Desiree M. J. [1 ]
Luijsterburg, Pim A. J. [1 ]
Bierma-Zeinstra, Sita M. A. [1 ,2 ]
Bos, Pieter K. [2 ]
机构：
[1] Univ Med Ctr Rotterdam, Erasmus MC, Dept Gen Practice, NL-3000 CA Rotterdam, Netherlands
[2] Univ Med Ctr Rotterdam, Erasmus MC, Dept Orthopaed, NL-3000 CA Rotterdam, Netherlands
来源：
JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 06期
关键词：
systematic review; osteoarthritis; hip intra-articular anesthetic injection; diagnostic accuracy; PAIN; ACCURACY;
D O I：
10.1016/j.arth.2013.12.008
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
To assess the diagnostic value of intra-articular anesthetic hip injection in patients with hip pain atypical for osteoarthritis (OA), literature was searched. Included were studies assessing the diagnostic value of anesthetic hip injections in differentiating between pain caused by OA or another source. Pooled estimates of sensitivity and specificity with 95% confidence intervals (CI) were calculated. Of the 1387 potentially eligible articles, nine case series with high risk of bias could be included. The pooled sensitivity was 0.97 (95% CI 0.87, 0.99). Specificity was 0.91 (95% CI 0.83, 0.95). For clinical practice, no recommendation can be made regarding the use of hip injections for diagnosing hip OA. High quality, accurately reported studies are needed to provide better evidence on the diagnostic role of hip injection. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码：1236 / +
页数：8
相关论文
共 18 条
  • [1] The diagnostic value of anaesthetic hip injection in differentiating between hip and spinal pain
    Ashok, Nellikunja
    Sivan, Manoj
    Tafazal, Suhayl
    Sell, Philip
    [J]. EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY, 2009, 19 (03) : 167 - 171
  • [2] Efficacy of a single ultrasound-guided injection for the treatment of hip osteoarthritis
    Atchia, Ismael
    Kane, David
    Reed, Mike R.
    Isaacs, John D.
    Birrell, Fraser
    [J]. ANNALS OF THE RHEUMATIC DISEASES, 2011, 70 (01) : 110 - 116
  • [3] Association between pain in the hip region and radiographic changes of osteoarthritis: results from a population-based study
    Birrell, F
    Lunt, M
    Macfarlane, G
    Silman, A
    [J]. RHEUMATOLOGY, 2005, 44 (03) : 337 - 341
  • [4] Diagnostic value of intra-articular anaesthetic in primary osteoarthritis of the hip
    Crawford, RW
    Gie, GA
    Ling, RSM
    Murray, DW
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1998, 80B (02): : 279 - 281
  • [5] de Schepper EI, 2012, EUR SPINE J
  • [6] Faraj Adnan A, 2003, Acta Orthop Belg, V69, P518
  • [7] The diagnostic and predictive value of hip anesthetic arthrograms in selected patients before total hip arthroplasty
    Illgen, Richard Lynn, II
    Honkamp, Nicholas J.
    Weisman, Marty H.
    Hagenauer, Mary Ellen
    Heiner, John P.
    Anderson, Paul A.
    [J]. JOURNAL OF ARTHROPLASTY, 2006, 21 (05) : 724 - 730
  • [8] KLEINER JB, 1991, J RHEUMATOL, V18, P422
  • [9] Effectiveness of conservative treatments for the lumbosacral radicular syndrome: a systematic review
    Luijsterburg, Pim A. J.
    Verhagen, Arianne P.
    Ostelo, Raymond W. J. G.
    van Os, Ton A. G.
    Peul, Wilco C.
    Koes, Bart W.
    [J]. EUROPEAN SPINE JOURNAL, 2007, 16 (07) : 881 - 899
  • [10] Response to local anaesthetic injection as a predictor of successful hip surgery
    Odoom, JE
    Allen, GM
    Wilson, DJ
    [J]. CLINICAL RADIOLOGY, 1999, 54 (07) : 430 - 433
12