Display options
Cite
Bessette MC, Olsen JR, Mann TR, et al. Intra-articular hip injections for lateral hip pain. J Hip Preserv Surg. 2014;1(2):71-6doi: 10.1093/jhps/hnu012.
Bessette, M. C., Olsen, J. R., Mann, T. R., & Giordano, B. D. (2014). Intra-articular hip injections for lateral hip pain. Journal of hip preservation surgery, 1(2), 71-6. https://doi.org/10.1093/jhps/hnu012
Bessette, Matthew C, et al. "Intra-articular hip injections for lateral hip pain." Journal of hip preservation surgery vol. 1,2 (2014): 71-6. doi: https://doi.org/10.1093/jhps/hnu012
Bessette MC, Olsen JR, Mann TR, Giordano BD. Intra-articular hip injections for lateral hip pain. J Hip Preserv Surg. 2014 Oct 08;1(2):71-6. doi: 10.1093/jhps/hnu012. eCollection 2014 Oct. PMID: 27011805; PMCID: PMC4765286.
Copy Download .nbib Format: NLM
Share it on

J Hip Preserv Surg. 2014 Oct 08;1(2):71-6. doi: 10.1093/jhps/hnu012. eCollection 2014 Oct.

Intra-articular hip injections for lateral hip pain.

Journal of hip preservation surgery

Matthew C Bessette, Joshua R Olsen, Tobias R Mann, Brian D Giordano

Affiliations

  1. Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, 601 Elmwood Ave, Box 665, Rochester, NY 14642, USA.

PMID: 27011805 PMCID: PMC4765286 DOI: 10.1093/jhps/hnu012

Abstract

Occult intra-articular hip pathology is commonly found in patients with greater trochanteric pain syndrome, and may be a possible pain generator in patients with recalcitrant lateral hip pain. We investigated the effect of intra-articular hip injections in patients with recalcitrant lateral hip pain. Between September 2012 and May 2013, patients over the age of 18 with a history lateral hip pain who had received prior treatment with non-steroidal anti-inflammatory medications, physical therapy and peritrochanteric corticostroid injections were enrolled. Treatment consisted of an ultrasound guided intra-articular corticosteroid injection followed by a course of directed physical therapy and a non-steroidal anti-inflammatory medication. Patients performed GaitRite analysis at baseline and 12 weeks following the injection. In addition, the Modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Scores (HOS), Short Form 36 (SF-36) and a visual analogue pain score (VAS) were collected at baseline, 1, 6 and 12 weeks.A total of 16 patients were studied. Patients experienced significant improvements from their baseline mHHS at 1 and 12 weeks (P = 0.03, P = 0.04). The minimal clinically important difference (MCID) was exceeded at multiple timepoints on various clinical outcome surveys. Velocity and stride length were not significantly improved at 12 weeks. Intra-articular hip injections may decrease pain and improve function in patients with recalcitrant lateral hip pain, and occult intra-articular hip pathology should be considered in the etiology of lateral hip pain. Though low enrollment numbers left this study underpowered, MCID comparisons demonstrated potential benefit from this treatment.

References

  1. Am J Sports Med. 2013 Sep;41(9):2065-73 - PubMed
  2. AJR Am J Roentgenol. 2013 Aug;201(2):W313-7 - PubMed
  3. J Orthop Res. 1997 Jul;15(4):629-35 - PubMed
  4. J Am Acad Orthop Surg. 2011 Jul;19(7):385-91 - PubMed
  5. J Am Med Assoc. 1958 Sep 13;168(2):175-7 - PubMed
  6. Arch Phys Med Rehabil. 2007 Aug;88(8):988-92 - PubMed
  7. Ann Rheum Dis. 2003 Oct;62(10):935-8 - PubMed
  8. Eur Radiol. 2003 Jun;13(6):1339-47 - PubMed
  9. Am J Sports Med. 2013 May;41(5):988-97 - PubMed
  10. Clin Orthop Relat Res. 1999 Nov;(368):135-40 - PubMed
  11. Ann Fam Med. 2011 May-Jun;9(3):226-34 - PubMed
  12. Clin Orthop Relat Res. 2007 Apr;457:144-9 - PubMed
  13. J Rheumatol. 1996 Dec;23(12):2104-6 - PubMed
  14. Skeletal Radiol. 2008 Oct;37(10):903-9 - PubMed
  15. Osteoarthritis Cartilage. 2009 Feb;17 (2):182-7 - PubMed
  16. Scand J Med Sci Sports. 2012 Oct;22(5):627-34 - PubMed
  17. BMJ. 2009 Apr 14;338:b1088 - PubMed
  18. Sports Med Arthrosc. 2010 Jun;18(2):113-9 - PubMed
  19. J Am Acad Orthop Surg. 2011 Jun;19(6):359-67 - PubMed
  20. Arch Phys Med Rehabil. 1986 Nov;67(11):815-7 - PubMed
  21. Arthritis Rheum. 2001 Sep;44(9):2138-45 - PubMed
  22. AJR Am J Roentgenol. 1999 Oct;173(4):1123-6 - PubMed
  23. Arthritis Rheum. 2001 Aug;45(4):384-91 - PubMed
  24. Arthroscopy. 2008 Jun;24(6):676-82 - PubMed
  25. J Orthop Sports Phys Ther. 2008 Jun;38(6):313-28 - PubMed
  26. J Arthroplasty. 2014 Feb;29(2):383-6 - PubMed
  27. Rheumatol Int. 2014 Oct;34(10):1441-8 - PubMed
  28. Surg Radiol Anat. 2012 Nov;34(9):847-55 - PubMed
  29. Radiology. 2003 Mar;226(3):921; author reply 921-2 - PubMed
  30. Am J Sports Med. 2009 Sep;37(9):1806-13 - PubMed
  31. AJR Am J Roentgenol. 2004 Jan;182(1):137-43 - PubMed
  32. Clin J Sport Med. 2011 Sep;21(5):447-53 - PubMed
  33. Joint Bone Spine. 2008 Jul;75(4):458-64 - PubMed
  34. J Bone Joint Surg Br. 1985 Nov;67(5):762-3 - PubMed

Publication Types