Long-standing Hip Pain Research Articles

A rare case of avascular necrosis of the hip joint secondary to ochronosis

This is a case report of a 53-year-old female patient who presented with long-standing hip pain secondary to avascular necrosis of the hip joint. She underwent total hip replacement and her intraoperative findings raised suspicion of ochronosis and was retrospectively evaluated for alkaptonuria both clinically and through biochemical investigations to confirm the diagnosis.

Translation and Cross-Cultural Adaptation of the Exercise Adherence Rating Scale (EARS) into Danish.

The Exercise Adherence Rating Scale (EARS) is a self-administrated questionnaire designed to measure adherence to prescribed home-based exercises in a British population. In a Danish context, no reliable and valid questionnaires are available to measure exercise adherence. This study aimed to translate and cross-culturally adapt the EARS into Danish following international guidelines and to provide insights about construct validity in a Danish population with longstanding hip pain. The EARS was translated and cross-culturally adapted into Danish using a forward-backward method. The understanding and interpretability of the EARS were evaluated with semistructured interviews in 24 patients with longstanding hip pain due to hip dysplasia (22 females; median age 30 (IQR 24-37)). These patients were prescribed home-based exercises. Using Spearman's correlation, construct validity was evaluated by assessing if the Danish version of EARS was correlated with completed exercise sessions and self-reported pain and sport/recreation function. The EARS was translated and cross-culturally adapted into Danish following minor adjustments. The EARS was statistically significantly correlated to completed exercise sessions (p=0.005), self-reported pain (p=0.005), and sport/recreation function (p < 0.03). In patients with longstanding hip pain, the Danish EARS seems suitable to measure adherence to prescribed exercises; however, further evaluation of measurement properties may be needed.

OPIOID‐INDUCED HYPERALGESIA IN A PATIENT WITH DEMENTIA

OPIOID‐INDUCED HYPERALGESIA IN A PATIENT WITH DEMENTIA

Combined lumbar and sacral plexus block for the management of long-standing hip pain

Combined lumbar and sacral plexus block for the management of long-standing hip pain

Repeated Psoas Compartment Blocks for the Management of Long-Standing Hip Pain

Repeated Psoas Compartment Blocks for the Management of Long-Standing Hip Pain

Repeated psoas compartment blocks for the management of long-standing hip pain

Background and Objectives: The psoas compartment block is used to produce analgesia of the lumbar plexus mainly for hip and knee surgery. It has also been used for the management of a long-standing pain due to hip joint degeneration. Case Report: A 55-year-old woman with severe left hip pain received repetitive psoas compartment blocks over 18 months. The blocks provided her with effective pain control. The quality and duration of the block was improved by the addition of opioid to the local anesthetic. Conclusion: We successfully performed repeated psoas compartment blocks with a local anesthetic and subsequently with added opioids, which produced substantial pain relief, especially after the addition of opioids. Reg Anesth Pain Med 2001;26:376-378.