II. Indications: Hip Joint Injection

  1. Hip Osteoarthritis or inflammatory Arthritis
  2. Needle aspiration in suspected septic hip

III. Contraindications

  1. Corticosteroid Injection is contraindicated in possible Septic Joint

IV. Technique: Hip Joint Ultrasound Technique

  1. Usually performed under Ultrasound (Curvilinear transducer 5 MHz)
    1. Locate and avoid the femoral artery and femoral vein
    2. Visualize the femoral neck in the logitudinal plane (oblique)
    3. Identify the junction of the femoral head and the femoral neck
    4. Needle inserted from lateral position directed medially toward femoral neck
  2. Prepare the skin (e.g. Chlorhexidine)
  3. Needle: 20 to 22 gauge (2.5 to 3.5 inch spinal needle)
  4. Corticosteroid
    1. Methylprednisolone: 1 ml of 40 mg/ml OR
    2. Betamethasone (Celestone Soluspan): 1 ml of 6 mg/ml
    3. Triamcinolone 40 mg
    4. Dexamethasone 8 mg
  5. Anesthetic: 5 ml
    1. Lidocaine 1%

V. Technique: Trochanteric bursa

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