APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-US Guided Injections

US Guided Injections_ Cortisone, PRP, BMAC, and HA

Video Transcription

Video Summary

This presentation discusses ultrasound-guided injections for hip joint pathologies, including cortisone, PRP, BMAC, and hyaluronic acid (HA). Ultrasound offers real-time visualization, accurate delivery, radiation avoidance, and aids diagnosis, albeit requiring training and time. Techniques involve precise probe positioning for safe injection. Cortisone offers short-term relief in osteoarthritis but with potential risks; HA shows anti-inflammatory effects but lacks extensive hip-specific evidence. PRP is favored for biologics due to growth factor content and some efficacy shown in knee studies; BMAC's benefits remain unclear. Overall, ultrasound-guided injections improve accuracy and diagnosis, with biologics showing promise for inflammation, though structural benefits need further research.

Asset Caption

Jorge Chahla, M.D.

Keywords

ultrasound-guided injections

hip joint pathologies

cortisone therapy

platelet-rich plasma (PRP)

bone marrow aspirate concentrate (BMAC)