AANA Hip Arthroscopy - September 2024-US Guided Injections

US Guided Injections_ Cortisone, PRP, BMAC, and HA

Video Transcription

Video Summary

This presentation covers ultrasound-guided injections for hip conditions like femoroacetabular impingement, labral or chondral injuries, and osteoarthritis. Ultrasound offers real-time visualization, accuracy, and no radiation, but requires training and clinic time. Cortisone provides short-term relief but carries risks like infection and tissue damage. Hyaluronic acid shows anti-inflammatory effects but lacks strong hip-specific evidence. Platelet-rich plasma (PRP) has modest benefits, particularly in knee studies, and is preferred over bone marrow aspirate concentrate (BMAC), which lacks strong evidence. Ultrasound aids diagnosis, treatment accuracy, and predicting surgical outcomes, with biologics showing promise for inflammation management though structural benefits remain unproven.

Keywords

ultrasound-guided injections

hip conditions

femoroacetabular impingement

cortisone treatment

platelet-rich plasma