Intra-articular corticosteroid hip injections: A review of 63 consecutive patients

被引：0

作者：

Shah N.H. ^{[2
]}

Ong G.S. ^{[1
]}

Malik H.A. ^{[1
]}

Lovell M.E. ^{[1
]}

机构：

[1] Department of Trauma and Orthopaedic Surgery, South Manchester University Hospital, Manchester

[2] Warrington, Cheshire, WA5 8GB

来源：

European Journal of Orthopaedic Surgery & Traumatology | 2006年 / 16卷 / 1期

关键词：

Bupivacaine; Hip; Injections; Intra-articular; Osteoarthritis; Steroids;

D O I：

10.1007/s00590-005-0029-0

中图分类号：

学科分类号：

摘要：

In our study of 63 consecutive patients, we present the result of prospective intra-articular injections of bupivacaine and methylprednisolone acetate for osteoarthritis of the hip. Fluoroscopically guided intra-articular hip injections were performed in operating theatre. The effectiveness of the injection was assessed by the help of oxford hip score and was measured before the injection and then at 3 months after the injection. At 3 months, fifty-one patients (81%) showed improvement, four patients (6.3%) showed no improvement while eight patients (12.7%) were worse off after the injection. Two patients had thigh numbness after the procedure, which improved later. No statistical differences were found in the pre-injection and post-injection Oxford hip scores. We conclude that intra-articular hip injections of bupivacaine and methylprednisolone is a safe technique, which can be used with care in patients deemed not fit for hip replacement. © Springer-Verlag 2005.

引用

页码：20 / 23

页数：3

共 10 条

[1]

Hollander J.L., Intraarticular hydrocortisone in arthritis and allied conditions, J Bone Joint Surg, 35 A, pp. 983-990, (1953)

[2]

Flanagan J., Thomas T.L., Casale F.F., Deasi K.B., Intraarticular injections for pain relief in patients awaiting hip replacement, Ann Roy Coll Surg, 70, pp. 156-157, (1988)

[3]

Kleiner J.B., Thorne R.P., Curd J.G., The value of bupivacaine injection in the differentiation of caxarthrosis from lower extremity neuropathy, J Rheumatol, 18, pp. 422-427, (1991)

[4]

Crawford R.W., Gie G.A., Ling R.S.M., Murray D.W., Diagnostic value of intra-articular anaesthetic in primary osteoarthritis of the hip, J Bone Joint Surg Br, 80, 2, pp. 279-281, (1998)

[5]

Lovell M.E., Entwistle A.N., Francombe J., The efficacy of steroid injections of the hip, J Orth Rheumatol, 9, pp. 208-209, (1996)

[6]

Dawson J., Fitzpatrick R., Carr A., Murray D., Questionnaire on the perceptions of patients about total hip replacement, J Bone Joint Surg, 78, 5, pp. 185-190, (1996)

[7]

Kellgren J.H., Lawrence J.S., Atlas of Standard Radiographs the Epidemiology of Chronic Rheumatism, (1963)

[8]

Wajid M.A., Kumar R., Lennox C.M.E., Intra-articular steroid injection for pain relief in osteoarthritis of hip, J Orthop Med, 23, pp. 113-115, (2001)

[9]

Waseem M., Sadiq S., Gambhir A.K., Lim J., Et al., Safety and efficacy of intra-articular injection of hip, HIP, 12, pp. 378-382, (2002)

[10]

Kullenberg B., Runesson R., Tuvhag R., Olsson C., Resch S., Intraarticular corticosteroid injection: Pain relief in osteoarthritis of the hip?, J Rheumatol, 31, 11, pp. 2265-2268, (2004)

← 1 →