Safety and Efficacy of Intraarticular Hip Injection Using Anatomic Landmarks

作者: Seth S. Leopold , Vincent Battista , James A. Oliverio

DOI: 10.1097/00003086-200110000-00021

关键词: Neurovascular bundleNeedle placementFemoral nerveOrthopedic surgeryFemoral arteryAnterior approachMedicineRadiographyCadaverSurgery

摘要: This study tests the hypotheses that the hip can be injected safely and reliably, using anatomic landmarks, without fluoroscopic guidance. Fifteen human cadavers (30 hips) were injected, each receiving one anterior hip injection and one lateral hip injection with methylene blue dye. Anatomic dissections were done on all 30 specimens to determine the rate of success and the proximity of the needle to the neurovascular structures about the hip with each approach. Neither the anterior nor the lateral injection approach, using published …

参考文章(15)
R P Thorne, J B Kleiner, J G Curd, The value of bupivicaine hip injection in the differentiation of coxarthrosis from lower extremity neuropathy. The Journal of Rheumatology. ,vol. 18, pp. 422- 427 ,(1991)
INTRA-ARTICULAR HYDROCORTISONE IN THE TREATMENT OF ARTHRITIS Annals of Internal Medicine. ,vol. 39, pp. 735- 746 ,(1953) , 10.7326/0003-4819-39-4-735
MARK J. SPANGEHL, BASSAM A. MASRI, JOHN X. OʼCONNELL, CLIVE P. DUNCAN, Prospective Analysis of Preoperative and Intraoperative Investigations for the Diagnosis of Infection at the Sites of Two Hundred and Two Revision Total Hip Arthroplasties Journal of Bone and Joint Surgery, American Volume. ,vol. 81, pp. 672- 683 ,(1999) , 10.2106/00004623-199905000-00008
PAUL F. LACHIEWICZ, GARY D. ROGERS, H. CLAYTON THOMASON, Aspiration of the hip joint before revision total hip arthroplasty. Clinical and laboratory factors influencing attainment of a positive culture. Journal of Bone and Joint Surgery, American Volume. ,vol. 78, pp. 749- 754 ,(1996) , 10.2106/00004623-199605000-00015
J. M. F. Landsmeer, A. K. J. Koumans, Anatomical Considerations in Injection of the Hip Joint Annals of the Rheumatic Diseases. ,vol. 13, pp. 246- 249 ,(1954) , 10.1136/ARD.13.3.246
Paul Creamer, Intra-articular corticosteroid treatment in osteoarthritis Current Opinion in Rheumatology. ,vol. 11, pp. 417- 421 ,(1999) , 10.1097/00002281-199909000-00016
Jon K. Sekiya, Edward M. Wojtys, Randall T. Loder, Robert N. Hensinger, Hip Arthroscopy Using a Limited Anterior Exposure: An Alternative Approach for Arthroscopic Access Arthroscopy. ,vol. 16, pp. 16- 20 ,(2000) , 10.1016/S0749-8063(00)90122-1
B W Carson, A Wong, Ultrasonographic guidance for injections of local steroids in the native hip. Journal of Ultrasound in Medicine. ,vol. 18, pp. 159- 160 ,(1999) , 10.7863/JUM.1999.18.2.159
E A Brandser, G Y El-Khoury, R L FitzRandolph, Modified technique for fluid aspiration from the hip in patients with prosthetic hips Radiology. ,vol. 204, pp. 580- 582 ,(1997) , 10.1148/RADIOLOGY.204.2.9240558
J.W.Thomas Byrd, James N. Pappas, M.Jane Pedley, Hip arthroscopy: An anatomic study of portal placement and relationship to the extra-articular structures Arthroscopy. ,vol. 11, pp. 418- 423 ,(1995) , 10.1016/0749-8063(95)90193-0