Hip injection using image intensifier Surgical Technique
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CPD/CME Points: 1
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Intra-articular injection of the hip joint has a number of potential indications. Therapeutically these range from traditional anti-inflammatory steroid injections to newer interventions such as Platelet Rich Plasma (PRP) injections or visco-supplementation with Hyaluronic acid, for the treatment of early osteoarthritis. Diagnostic injections into the joint with short acting local anaesthetic agents are commonplace to demonstrate the source of pain as being intra-articular and from the hip.
A hip injection is in most cases a straightforward procedure and there are a variety of techniques and approaches to use. There are also different modalities of imaging to aid the approaches, which are discussed in the alternative techniques section.
The technique I describe is a simple, safe and reproducible way of reaching the hip joint. This is my favoured technique as the imaging of the needle in profile along the femoral neck is an easy visual aid to correct positioning.
Author: Mr Michael Cronin BSc, MBBS, FRCS (Tr & Orth)
Institution : Morriston Hospital, Swansea, UK.