Image-Guided Injections of the Hip

Abstract

The authors present a technique paper on the utilization of both ultrasound and fluoroscopy guidance for injections about the hip joint. This review draws from specialists including physiatry, family medicine and orthopaedic surgery. We hope the editors and reviewers find this document beneficial to the readership, especially those practicing musculoskeletal medicine and may use this information when performing hip injections.

A Novel Approach for Fluoroscopic Guided Intra-articular Hip Injections

“…8,9 Historically, fluoroscopic guided intra-articular hip injections have utilized a standard anterior-posterior (AP) view. 10,11 Figure 1A shows the traditional AP view. 12 However, this approach can expose the patients to inadvertent femoral nerve or vessel infiltration owing to the proximity of the neurovascular bundle to the joint space, as seen in Figure 2.…”

“…Historically, fluoroscopic guided intra-articular hip injections have utilized a standard anterior-posterior (AP) view 10,11 Figure 1 12 .…”