Ultrasound-guided injection of the hip: Cadaveric description for the lateral approach

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F23%3A10465119" target="_blank" >RIV/00064165:_____/23:10465119 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11110/23:10465119

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=YRhDSw_iUI" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=YRhDSw_iUI</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1002/pmrj.12932" target="_blank" >10.1002/pmrj.12932</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Ultrasound-guided injection of the hip: Cadaveric description for the lateral approach

Popis výsledku v původním jazyce

Background: Ultrasound (US)-guided intraarticular hip joint injections are commonly performed using an in-plane anterior approach, which has several limitations. Objective: To describe and report a &quot;lateral&quot; (lateral to medial) approach for US-guided intraarticular hip injection. Design: Cadaveric investigation. Setting: Academic institution, department of anatomy. Participants: One cadaveric specimen. Methods: Both hips of a single cadaver were injected using the US-guided lateral approach. In the left hip, the needle was inserted and kept in situ. The right hip was injected with white-colored water-diluted latex dye. Subsequently, a layer-by-layer anatomical dissection was performed. Main Outcome Measures: Presence and distribution of latex dye and location of needle tip within the joint capsule of the hip. Results: Anatomical dissection of the left and right hips confirmed the correct intraarticular position of the needle tip and the placement of the latex dye, respectively. During layer-by-layer dissection of the left hip, positions of the lateral cutaneous nerve and the lateral circumflex femoral artery were observed anterior to the needle, 30 mm for the nerve and 8 mm for the artery. Conclusions: This preliminary study demonstrated that the US-guided lateral approach is a convenient technique to access the hip joint in a cadaveric specimen. Compared with the &quot;classical&quot; anterior technique, the lateral approach may provide several advantages, including improved needle visibility, theoretically decreased risk of vascular injury, and less risk of needle contamination. Because injury to the lateral epiphyseal arteries is possible when lateral approach is used, caution is required, especially in children. These preliminary conclusions will need to be validated in future/larger clinical studies.

Název v anglickém jazyce

Ultrasound-guided injection of the hip: Cadaveric description for the lateral approach

Popis výsledku anglicky

Background: Ultrasound (US)-guided intraarticular hip joint injections are commonly performed using an in-plane anterior approach, which has several limitations. Objective: To describe and report a &quot;lateral&quot; (lateral to medial) approach for US-guided intraarticular hip injection. Design: Cadaveric investigation. Setting: Academic institution, department of anatomy. Participants: One cadaveric specimen. Methods: Both hips of a single cadaver were injected using the US-guided lateral approach. In the left hip, the needle was inserted and kept in situ. The right hip was injected with white-colored water-diluted latex dye. Subsequently, a layer-by-layer anatomical dissection was performed. Main Outcome Measures: Presence and distribution of latex dye and location of needle tip within the joint capsule of the hip. Results: Anatomical dissection of the left and right hips confirmed the correct intraarticular position of the needle tip and the placement of the latex dye, respectively. During layer-by-layer dissection of the left hip, positions of the lateral cutaneous nerve and the lateral circumflex femoral artery were observed anterior to the needle, 30 mm for the nerve and 8 mm for the artery. Conclusions: This preliminary study demonstrated that the US-guided lateral approach is a convenient technique to access the hip joint in a cadaveric specimen. Compared with the &quot;classical&quot; anterior technique, the lateral approach may provide several advantages, including improved needle visibility, theoretically decreased risk of vascular injury, and less risk of needle contamination. Because injury to the lateral epiphyseal arteries is possible when lateral approach is used, caution is required, especially in children. These preliminary conclusions will need to be validated in future/larger clinical studies.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30106 - Anatomy and morphology (plant science to be 1.6)

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

PM and R

ISSN

1934-1482

e-ISSN

1934-1563

Svazek periodika

15

Číslo periodika v rámci svazku

9

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

6

Strana od-do

1150-1155

Kód UT WoS článku

000952895500001

EID výsledku v databázi Scopus

2-s2.0-85150784625