Comparison of Ultrasound-guided Intraarticular Hip Injections With and Without Prior Local Anesthesia

NCT ID: NCT05209399

Last Updated: 2023-06-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-30

Study Completion Date

2023-05-10

Brief Summary

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In this single-center randomized controlled trial, subjects undergoing a first-time ultrasound-guided unilateral intraarticular hip injection will be randomized into one of two groups: hip injection with prior local anesthesia (With LA) or hip injection without prior local anesthesia (Without LA). Visual analog scale (VAS) pain scores (0-100) will be collected after the local anesthesia injection (With LA group) and intraarticular hip injection (both groups). The primary outcome measure for comparison between the two groups will be VAS score for the intraarticular hip injection.

Detailed Description

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Conditions

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Hip Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Caregivers

Study Groups

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Hip injection with prior local anesthesia

Group Type ACTIVE_COMPARATOR

Ultrasound guided injection

Intervention Type PROCEDURE

All intraarticular hip injections will be performed under real-time ultrasound guidance using a GE LOGIQ P9 ultrasound machine with a C1-5-RS 1-5 MHz curvilinear transducer (GE Healthcare, Chicago, IL, USA). For the procedure, patients will be placed in a supine position. The curvilinear transducer and ultrasound machine will be used to visualize the anterior aspect of the hip joint in a sagittal oblique plane. Sterile technique will be used to perform the procedure.

Hip injection without prior local anesthesia

Group Type ACTIVE_COMPARATOR

Ultrasound guided injection

Intervention Type PROCEDURE

All intraarticular hip injections will be performed under real-time ultrasound guidance using a GE LOGIQ P9 ultrasound machine with a C1-5-RS 1-5 MHz curvilinear transducer (GE Healthcare, Chicago, IL, USA). For the procedure, patients will be placed in a supine position. The curvilinear transducer and ultrasound machine will be used to visualize the anterior aspect of the hip joint in a sagittal oblique plane. Sterile technique will be used to perform the procedure.

Interventions

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Ultrasound guided injection

All intraarticular hip injections will be performed under real-time ultrasound guidance using a GE LOGIQ P9 ultrasound machine with a C1-5-RS 1-5 MHz curvilinear transducer (GE Healthcare, Chicago, IL, USA). For the procedure, patients will be placed in a supine position. The curvilinear transducer and ultrasound machine will be used to visualize the anterior aspect of the hip joint in a sagittal oblique plane. Sterile technique will be used to perform the procedure.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patients undergoing a first-time ultrasound-guided unilateral intraarticular hip injection
* Subjects must be fluent in English
* Subject must be able to consent for themselves and mark pain levels on a visual analog scale.

Exclusion Criteria

* previous intraarticular hip injection (to remove bias from prior injection experiences)
* prior surgery on the hip to be injected
* use of opioid medication on the day of or day before the procedure
* diabetes mellitus
* body mass index (BMI) greater than 40
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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American Medical Society for Sports Medicine

UNKNOWN

Sponsor Role collaborator

University of Rochester

OTHER

Sponsor Role lead

Responsible Party

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Rondy Lazaro

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Rochester Medical Center Physical Medicine and Rehabilitation

Rochester, New York, United States

Site Status

Countries

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United States

References

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Lazaro RM, Smith JM, Bender N, Punreddy A, Barford N, Paul JH. Comparison of Pain With Ultrasound-Guided Intra-Articular Hip Injections With and Without Prior Subcutaneous Local Anesthesia. Clin J Sport Med. 2024 Jul 24;35(5):543-548. doi: 10.1097/JSM.0000000000001260.

Reference Type DERIVED
PMID: 39046314 (View on PubMed)

Other Identifiers

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STUDY00006887

Identifier Type: -

Identifier Source: org_study_id

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