AANA19 Hip Access Pass-Hip Arthroscopy within Three-months of an Intraarticular Injection_ Is it Safe

Hip Arthroscopy within Three-months of an Intraarticular Injection_ Is it Safe_-Dr. J.W. Thomas Byrd, M.D.

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Video Summary

This study reviewed 500 hip arthroscopy cases following ultrasound-guided intra-articular steroid injections within three months. Despite concerns from earlier reports suggesting increased infection risk post-injection, this cohort experienced zero postoperative infections. The injections, performed in-office via ultrasound, improved patient comfort compared to fluoroscopic methods and aided diagnosis and symptom relief, facilitating physical therapy or delaying surgery. Arthroscopy was typically delayed 4-6 weeks post-injection to assess efficacy and reduce risks. The findings highlight ultrasound-guided injections as vital for managing hip disorders, demonstrating that with proper technique, arthroscopy after recent injections is safe and effective.

Keywords

hip arthroscopy

ultrasound-guided steroid injections

postoperative infection risk

in-office injection technique

hip disorder management