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Updated: Jul 29, 2026
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In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
Corticosteroid injections for trochanteric bursitis: is fluoroscopy necessary? A pilot study.
S P Cohen1, J C Narvaez, A H Lebovits
1Pain Management Center, Department of Anesthesiology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. spc5_2000@yahoo.com
British Journal of Anaesthesia
|November 2, 2004
Summary
Fluoroscopic guidance is essential for accurate trochanteric bursa injections to ensure medication reaches the hip pain area. Blind injections often miss the target, requiring multiple attempts for effective treatment.
Area of Science:
- Musculoskeletal Interventions
- Pain Management Imaging
- Radiological Guidance in Procedures
Background:
- Blinded injections for pain conditions are often inaccurate.
- Trochanteric bursa injections are common for hip pain but lack fluoroscopic descriptions.
- Radiological guidance improves injection accuracy.
Purpose of the Study:
- To evaluate the effectiveness of fluoroscopic guidance for trochanteric bursa injections.
- To determine the accuracy of initial needle placement without imaging.
- To assess the success rate of obtaining a bursagram with fluoroscopy.
Main Methods:
- Retrospective review of 40 patients undergoing trochanteric bursa injections.
- Initial blind needle placement followed by fluoroscopic guidance.
- Contrast injection to confirm bursal spread (bursagram) via imaging.
Main Results:
- Greater trochanter (GT) contact achieved in 78% of cases.
- Successful bursagram on the first attempt in 45% of patients.
- Multiple attempts were required for a significant portion of patients, with older patients needing more injections.
Conclusions:
- Fluoroscopic guidance is crucial for accurate trochanteric bursa injections.
- Radiological confirmation ensures injectate reaches the target pathology.
- Improved accuracy reduces the need for repeat procedures.
