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A Novel Approach for Fluoroscopic Guided Intra-articular Hip Injections: Technique Description and Case Series
Javier Antonio Santana De Los Santos1, Aaron Cross, Pablo Castaneda
1From the Department of Physical Medicine and Rehabilitation, Jackson Memorial Hospital, Miami, Florida (JASDLS, ALS); Helena Orthopaedic Clinic, Helena, Montana (AC); and Department of Radiology, University of Miami-Miller School of Medicine, Miami, Florida (PC).
A novel fluoroscopic technique for hip injections uses oblique angulation to safely access the joint, avoiding critical nerves and vessels. This method improved pain in patients with chronic hip osteoarthritis without adverse events.
Area of Science:
- Orthopedic Surgery
- Radiology
- Pain Management
Background:
- Standard fluoroscopic hip injections use anterior-posterior views.
- This approach risks femoral neurovascular bundle injury due to anatomical proximity.
Purpose of the Study:
- To describe a novel fluoroscopic technique for intra-articular hip injections.
- To enhance safety by avoiding inadvertent neurovascular infiltration.
Main Methods:
- Case-series study involving five patients with chronic hip osteoarthritis.
- Utilized fluoroscopic ipsilateral oblique angulation and caudal tilt.
- Advanced needle with a lateral-to-medial trajectory for intra-articular access.
Main Results:
- Successful intra-articular hip injections were performed in all five patients.
- Patients reported notable improvements in chronic hip pain.
- No adverse events or complications were observed.
Conclusions:
- The novel fluoroscopic technique offers a safer alternative for intra-articular hip injections.
- This method minimizes risks associated with the femoral neurovascular bundle.
- The technique provides effective pain relief and reduces needle repositioning.
