Abstract

Ultrasound-guided intraarticular hip corticosteroid injections may be useful for emergency care providers treating patients with painful exacerbations of osteoarthritis of the hip. Corticosteroid injection is widely recommended as a first-line treatment for painful osteoarthritis of the hip. Bedside ultrasound is readily available in most emergency departments; however, using ultrasound to guide therapeutic hip injections has not yet been described in emergency practice. Herein, we present the first description of a successful emergency physician-performed ultrasound-guided hip injection of local anesthetic and corticosteroid for pain control in a patient with an acute exacerbation of osteoarthritis.

Highlights

  • Hip osteoarthritis (OA) is a common painful condition in the emergency department (ED)

  • Ultrasound-guided intraarticular hip corticosteroid injections may be useful for emergency care providers treating patients with painful exacerbations of osteoarthritis of the hip

  • Bedside ultrasound is readily available in most emergency departments; using ultrasound to guide therapeutic hip injections has not yet been described in emergency practice

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Summary

Case Report

Alameda County Medical Center, Highland Hospital, Department of Emergency Medicine, Oakland, California. Supervising Section Editor: Rick McPheeters, DO Submission history: Submitted October 8, 2012; Revisions received December 18, 2012; Accepted February 15, 2013 Full text available through open access at http://escholarship.org/uc/uciem_westjem. Ultrasound-guided intraarticular hip corticosteroid injections may be useful for emergency care providers treating patients with painful exacerbations of osteoarthritis of the hip. Corticosteroid injection is widely recommended as a first-line treatment for painful osteoarthritis of the hip. Bedside ultrasound is readily available in most emergency departments; using ultrasound to guide therapeutic hip injections has not yet been described in emergency practice. We present the first description of a successful emergency physician-performed ultrasound-guided hip injection of local anesthetic and corticosteroid for pain control in a patient with an acute exacerbation of osteoarthritis. We present the first description of a successful emergency physician-performed ultrasound-guided hip injection of local anesthetic and corticosteroid for pain control in a patient with an acute exacerbation of osteoarthritis. [West J Emerg Med. 2013;14(5):505–508.]

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