Procedure

Hip Injection

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Hip Injection, Hip Intra-articular Injection, Femoroacetabular Joint Injection

  • See also
  1. Joint Injection
  2. Injectable Corticosteroid
  3. Trochanteric Bursa Injection
  1. Hip Osteoarthritis or inflammatory Arthritis
  2. Needle aspiration in suspected septic hip
  • Contraindications
  1. Corticosteroid Injection is contraindicated in possible Septic Joint
  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%
  • Technique
  • Trochanteric bursa
  1. See Trochanteric Bursa Injection
  • References
  1. Webb (2024) Am Fam Physician 109(1): 61-70 [PubMed]