Document Detail


Accuracy of diagnostic injection in differentiating source of atypical hip pain.
MedLine Citation:
PMID:  20570105     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It is not uncommon to encounter patients with atypical hip or lower extremity pain, ill-defined clinicoradiological features, and concomitant hip and lumbar spine arthritis. The purpose of this study is to present our experience using the response resulting from a combined anesthetic-steroid hip injection for treatment selection in these patients. A retrospective analysis of 204 consecutive diagnostic hip injections was undertaken. Patient charts were scrutinized for outcomes of injection and treatment. Our findings suggest that the relief of symptoms following injection of local anesthetic and steroid into the hip joint has a sensitivity of 91.5%, specificity and positive predictive value of 100%, and negative predictive value of 84.6% for response to total hip arthroplasty. We thereby believe that this is a reliable test with low morbidity and can predict the potential benefit of total hip arthroplasty in this diagnostically challenging group of patients.
Authors:
Ajit J Deshmukh; Raman R Thakur; Amrit Goyal; Devon A Klein; Amar S Ranawat; Jose A Rodriguez
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Publication Detail:
Type:  Journal Article     Date:  2010-05-31
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  25     ISSN:  1532-8406     ISO Abbreviation:  J Arthroplasty     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-24     Completed Date:  2011-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  129-33     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anesthetics, Local / administration & dosage,  therapeutic use*
Arthralgia / diagnosis*,  drug therapy*,  etiology
Diagnosis, Differential
Drug Therapy, Combination
Female
Hip Joint* / radiography
Humans
Injections, Intra-Articular
Male
Middle Aged
Osteoarthritis, Hip / diagnosis,  drug therapy,  etiology
Retrospective Studies
Sensitivity and Specificity
Steroids / administration & dosage,  therapeutic use*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 0/Steroids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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