Fluoroscopic Intra-Articular Hip Injection

Description

In this instructional video led by Dr. Vinay Singh, a detailed step-by-step demonstration of a diagnostic hip injection is provided. The procedure targets a male patient with suspected hip pain contributing to his back problems. Dr. Singh emphasizes the difficulty in distinguishing between pain originating from the hip or the spine and suggests intra-articular hip injections as a means to clarify the source of discomfort. The presentation highlights the lateral approach for the injection, utilizing fluoroscopy for real-time imaging guidance, with the c-arm positioned from the opposite side of the injection site.



Dr. Singh discusses important anatomical landmarks, including the anterosuperior iliac spine (ASIS) and the greater trochanter (GT), and explains how to identify the optimal injection point using drawn reference lines. He describes two techniques for conducting the injection, one being the outpatient method without image guidance and the other the detailed lateral approach. The video demonstrates the use of local anesthesia to minimize patient discomfort during the procedure, followed by the careful insertion of a spinal needle to deliver a steroid and local anesthetic mixture directly into the hip joint.



Throughout the demonstration, the importance of precision and adjusting the needle's position based on fluoroscopy images is highlighted, ensuring accurate placement of the injection to achieve effective pain relief for the patient. The video serves as a practical guide for medical professionals seeking to enhance their skills in performing hip injections.

Specialties