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Updated: Sep 30, 2025

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Published on: September 7, 2022
Regional Anesthesia for Hip Arthroscopy
Peter E Amato1, Andrew J Winkelman2, Grace L Forster2
1Acute Pain Service, Department of Anesthesiology, University of Virginia Health System, University of Virginia, PO Box 800710, Charlottesville, VA 22908-0710, USA.
Abstract:
Pain after hip arthroscopy can be severe, yet we lack a consensus method for non-narcotic analgesia. Here we describe anatomic elements of hip arthroscopy and our current understanding of the relevant sensory innervation as a prelude to the evaluation of locoregional analgesic techniques. Many regional nerve blocks and local anesthetic infiltration techniques are reviewed, including 2 newer ultrasound fascial plane blocks. Further study of targeted, motor-sparing approaches, either ultrasound-guided or under direct surgical visualization is needed.
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