Intra-articular hip injections are commonly used in the evaluation and treatment of hip disorders. Although these injections are typically performed with fluoroscopic guidance, ultrasound provides a viable alternative for ensuring accurate intra-articular needle placement. This report describes the technique for performing ultrasound-guided intra-articular hip injections in the context of an office-based physiatric practice. Ultrasound offers several advantages over fluoroscopy, including accessibility, compact size, lack of ionizing radiation exposure, and visualization of neurovascular and other soft-tissue structures. With appropriate training and experience, interested physiatrists can consider implementing ultrasound-guided injections into their clinical practices.
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http://dx.doi.org/10.1016/j.apmr.2005.10.022 | DOI Listing |
J Am Acad Orthop Surg
February 2025
From the Department of Orthopaedic Surgery, Keck Medical Center of the University of Southern California, Los Angeles, CA (Ihn, Chung, Lovro, Patterson, Christ, and Heckmann), the Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN (Chen), the Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA (Tucker), and the Department of Radiology, Keck Medical Center of the University of Southern California, Los Angeles, CA (White, and Hwang).
Introduction: Vascular injury during acetabular screw fixation is a life-threatening complication of total hip arthroplasty. This study uses three-dimensional computed tomography to (1) measure absolute distance from the external iliac artery (EIA) to the acetabulum, (2) determine available bone stock along the EIA path, and (3) create a novel acetabular vascular risk map.
Methods: A retrospective radiographic study was conducted using three-dimensional CT.
Iowa Orthop J
January 2025
Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Background: The use of intraoperative intra-articular morphine has been suggested to lower postoperative pain scores and opioid use. We sought to evaluate the effectiveness of intra-articular morphine with 0.75% ropivacaine when compared to the use of ropivacaine alone.
View Article and Find Full Text PDFJ Orthop Case Rep
January 2025
Department of Orthopaedic Surgery, Maulana Azad Medical College, Bahadur Shah Marg, New Delhi, India.
Introduction: Tumoral calcinosis is a rare hereditary condition characterized by the deposition of calcium phosphate and hydroxyapatite in periarticular soft tissues. First described by Giard and Duret in 1898 and later detailed by Inclan in 1943, this condition has often been confused with other forms of periarticular calcification. Tumoral calcinosis predominantly affects young males and is typically found around major joints, such as the shoulder, elbow, hip, ankle, and wrist.
View Article and Find Full Text PDFInt J Surg Case Rep
December 2024
Joint Reconstruction Research Center (JRRC), Imam Khomeini Hospital, Tehran University of Medical Sciences, End of Keshavarz Blvd, 1419733141 Tehran, Iran. Electronic address:
Introduction: Heterotopic ossification (HO) is the formation of mature bone in soft tissue, often occurring after fractures and trauma. Patients with HO experience pain, joint stiffness, and other complications. Treatment aims to improve function; surgical procedures have succeeded in 83.
View Article and Find Full Text PDFArthrosc Tech
December 2024
Department of Orthopaedic Surgery, University of California Irvine, Orange, California, U.S.A.
Although specific techniques vary, core decompression is generally accepted as the treatment of choice for precollapse avascular necrosis (AVN) of the hip to delay or prevent progression of the disease. This can be combined with hip arthroscopy to allow visual assessment of the femoral head as well as treatment of intra-articular pathologies, which may contribute to pain and joint degeneration. We describe a technique of hip arthroscopy and concurrent core decompression using an expandable reamer and bone grafting for treatment of hip AVN.
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