PMID- 27011805
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160325
LR  - 20201001
IS  - 2054-8397 (Print)
IS  - 2054-8397 (Electronic)
IS  - 2054-8397 (Linking)
VI  - 1
IP  - 2
DP  - 2014 Oct
TI  - Intra-articular hip injections for lateral hip pain.
PG  - 71-6
LID - 10.1093/jhps/hnu012 [doi]
AB  - 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.
FAU - Bessette, Matthew C
AU  - Bessette MC
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester Medical 
      Center, 601 Elmwood Ave, Box 665, Rochester, NY 14642, USA.
FAU - Olsen, Joshua R
AU  - Olsen JR
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester Medical 
      Center, 601 Elmwood Ave, Box 665, Rochester, NY 14642, USA.
FAU - Mann, Tobias R
AU  - Mann TR
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester Medical 
      Center, 601 Elmwood Ave, Box 665, Rochester, NY 14642, USA.
FAU - Giordano, Brian D
AU  - Giordano BD
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester Medical 
      Center, 601 Elmwood Ave, Box 665, Rochester, NY 14642, USA.
LA  - eng
PT  - Journal Article
DEP - 20141008
PL  - England
TA  - J Hip Preserv Surg
JT  - Journal of hip preservation surgery
JID - 101643347
PMC - PMC4765286
EDAT- 2014/10/01 00:00
MHDA- 2014/10/01 00:01
PMCR- 2014/10/08
CRDT- 2016/03/25 06:00
PHST- 2014/06/08 00:00 [received]
PHST- 2014/08/07 00:00 [revised]
PHST- 2014/08/20 00:00 [accepted]
PHST- 2016/03/25 06:00 [entrez]
PHST- 2014/10/01 00:00 [pubmed]
PHST- 2014/10/01 00:01 [medline]
PHST- 2014/10/08 00:00 [pmc-release]
AID - hnu012 [pii]
AID - 10.1093/jhps/hnu012 [doi]
PST - epublish
SO  - J Hip Preserv Surg. 2014 Oct 8;1(2):71-6. doi: 10.1093/jhps/hnu012. eCollection 
      2014 Oct.