Intra-articular hip injections for lateral hip pain

نویسندگان

  • Matthew C. Bessette
  • Joshua R. Olsen
  • Tobias R. Mann
  • Brian D. Giordano
چکیده

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.

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Response to: Comment on Intra-articular hip injections for lateral hip pain

We appreciate the thoughtful insights of the reader and the questions regarding our study that these bring to light. We hope to provide some clarity with regard to our methodology. Although magnetic resonance imaging (MRI) results were available during the evaluation of a majority of our cohort, it is important to remember that greater trochanteric pain syndrome (GTPS) is a clinical diagnosis t...

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Comment on “intra-articular hip injections for lateral hip pain” by M. C. Bessette et al.

With interest I was reading the article about intra-articular hip injections for lateral hip pain by Bessette et al. [1]. Refractory greater trochanteric pain syndrome (GTPS) is a common and challenging problem in daily practice. It is interesting to see that intra-articular injection might be a solution to a seemingly extra-articular problem. A few comments and questions rose to my mind. The a...

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عنوان ژورنال:

دوره 1  شماره 

صفحات  -

تاریخ انتشار 2014