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Intra-articular Injection of the Hip Joint

  • Kunihiko MuraiEmail author
  • Kiyoshige Ohseto
Chapter

Abstract

Intraarticular hip injection is useful therapeutically for the treatment of hip joint pain, and diagnostic purpose help differential diagnosis of coxarthrosis from lower extremity neuropathy when considering surgical treatment. This chapter describes anatomy and the safe techniques of fluoroscopic and ultrasoundguided hip joint injection avoiding puncture of the femoral nerve and the medial femoral circumflex artery possibly resulting in necrosis of the femoral head.

Keywords

Coxarthrosis Radiographic guidance Ultrasound guidance 

References

  1. 1.
    Yamauchi Y, Jinno T, Koga D, Morita S, Muneta T, Shinomiya K. Usefulness of intraarticular injection in the diagnosis of the hip joint diseases. J East Jpn Orthop Traumatol. 2010;22:46–51. (in Japanese)Google Scholar
  2. 2.
    Kleiner JB, Thorne RP, Curd JG. The value of the bupivacaine hip injection in the differentiation of coxarthrosis from lower extremity neuropathy. J Rheumatol. 1991;18(3):422–7.PubMedGoogle Scholar
  3. 3.
    Kobayashi Y, Koyano G, Kitahama J, Iwase K, Hirakawa M, Tomioka H, Suzuki M. Is low back pain really originated from lumbar spine? - Evaluation of the pain derived from hip joint among the patients with a chief complaint of low back pain. J East Jpn Orthop Traumatol. 2014;26(1):21–5. in JapaneseGoogle Scholar
  4. 4.
    Birnbaum K, Prescher A, Hessler S, Heller KD. The sensory innervation of the hip joint. Surg Radiol Anat. 1997;19(6):371–5.CrossRefGoogle Scholar
  5. 5.
    Leopold SS, Battista V, Oliverio JA. Safety and efficacy of intraarticular hip injection using anatomic landmarks. Clin Orthop Relat Res. 2001;391:192–7.CrossRefGoogle Scholar
  6. 6.
    Ziv YB, Kardosh R, Debi R, Backstein D, Safir O, Kosashvili Y. An inexpensive and accurate method for hip injections without the use of imaging. J Clin Rheumatol. 2009;15(3):103–5.CrossRefGoogle Scholar

Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Murai ClinicTochigiJapan
  2. 2.Department of AnesthesiaTokyo Medical UniversityTokyoJapan

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