The diagnostic value of anaesthetic hip injection in differentiating between hip and spinal pain

Ashok, N; Sivan, Manoj; Tafazal, S; Sell, P

doi:10.1007/s00590-008-0401-y

Cited by 5 publications

(2 citation statements)

References 6 publications

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“…Thus, intra-articular lidocaine injections might be useful as a method to confirm the hip pathology and predict the efficacy of hip arthroscopic surgery. Consistent with this, several reports have described the usefulness of preoperative diagnostic intra-articular injections [6][7][8].…”

Section: Introductionsupporting

confidence: 56%

Assessment of the duration and effectiveness of intra-articular lidocaine injections for groin pain in patients with labral tears involving early osteoarthritis

Fukushima

Inoue

Kawakubo

et al. 2021

SICOT-J

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Introduction: Intra-articular lidocaine injections have been used to confirm the hip pathology and may predict the efficacy of arthroscopic surgery. We have routinely performed the injections as a surgical indicator. The aim of this study was to assess the duration and effectiveness of these diagnostic intra-articular lidocaine injections on groin pain in patients with labral tears involving early osteoarthritis. Methods: A total of 113 patients were included in this study. All patients received one injection of 10 ml of 1% lidocaine into the hip joint under fluoroscopy. The duration and effectiveness of the injection were assessed 2 weeks after the injection and at a minimum of 1 year of follow-up. The effect of the injection was graded as 0: unchanged or worse; 1: an effect only on the day of injection; 2: the effect lasted a few days; 3: the effect lasted about a week; and 4: symptom remission. In addition, we recorded whether hip arthroscopic surgery was eventually performed. Results: The effect was rated as 0 in 19 patients (16.8%), as 1 in 30 patients (26.5%), as 2 in 38 patients (33.6%), as 3 in 13 patients (11.5%), and as 4 in 13 patients (11.5%). Seventy-two patients (63.7%) underwent hip arthroscopic surgery. No relationship with patients’ characteristics was found. Conclusion: In total, 83% of patients experienced some effect of the lidocaine injection. Furthermore, 11.5% of patients experienced complete remission of their symptoms.

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Section: Introductionsupporting

confidence: 56%

Assessment of the duration and effectiveness of intra-articular lidocaine injections for groin pain in patients with labral tears involving early osteoarthritis

Fukushima

Inoue

Kawakubo

et al. 2021

SICOT-J

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“…There have been several studies about the usefulness of hip injections to differentiate intra-articular causes of hip pain from spinal causes [4][5][6][7]. To our knowledge, there have been no studies about the usefulness of local spine infiltrations to differentiate hip and spine originated hip pain.…”

Section: Discussionmentioning

confidence: 99%

Disk degeneration of the upper lumbar disks is associated with hip pain

et al. 2012

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Purpose A possible cause of hip pain is the presence of radiating pain from the higher lumbar spine. Identification of factors associated with hip pain arising from the lumbar spine would aid the physician. The first step in identifying possible factors is to look at the association between hip pain and osteoarthritis of the lumbar spine.Methods In an open population based study of people 55 years and older (Rotterdam study), 2,819 lumbar radiographs were scored for the presence and severity of individual radiographic features of disk degeneration. Hip osteoarthritis was scored on anteroposterior pelvic radiographs, and questionnaires including self-reported hip pain were taken. Logistic regression adjusted for possible confounders was used to determine the association between self-reported hip pain and the individual radiographic features of lumbar disk degeneration. Results The presence of dis space narrowing grade C1 at level L1/L2 was significantly associated with hip pain in the last month (men OR = 2.0; 95 % CI 1.1-3.8 and women OR = 1.7; 95 % CI 1.1-2.5). The presence of disk space narrowing grade C1 at level L2/L3 was only significantly associated with hip pain in women. The strength of the associations increased for self-reported chronic hip pain, especially in men (L1/L2 OR = 2.5; 95 % CI 1.3-5.0). The presence of disk space narrowing at the lower levels (L3/L4/L5/S1) was not significantly associated with hip pain. Conclusion Our data provide evidence for an association between hip pain and disk space narrowing at disk level L1/L2 and L2/L3. In case of uncertainty of the cause of hip pain, evaluation of lumbar radiographs may help to identify those hip pain patients who might have pain arising from the lumbar spine.

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Is Anesthetic Hip Joint Injection Useful in Diagnosing Hip Osteoarthritis? A Meta-Analysis of Case Series

Dorleijn

Luijsterburg

Bierma-Zeinstra

et al. 2014

The Journal of Arthroplasty

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The diagnostic value of anaesthetic hip injection in differentiating between hip and spinal pain

Cited by 5 publications

References 6 publications

Assessment of the duration and effectiveness of intra-articular lidocaine injections for groin pain in patients with labral tears involving early osteoarthritis

Assessment of the duration and effectiveness of intra-articular lidocaine injections for groin pain in patients with labral tears involving early osteoarthritis

Disk degeneration of the upper lumbar disks is associated with hip pain

Is Anesthetic Hip Joint Injection Useful in Diagnosing Hip Osteoarthritis? A Meta-Analysis of Case Series

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