Alameda County Medical Center, Highland Hospital, Department of Emergency Medicine, Oakland, California.
West J Emerg Med. 2013 Sep;14(5):505-8. doi: 10.5811/westjem.2013.2.13966.
Ultrasound-guided intraarticular hip corticosteroid injections may be useful for emergency care providers treating patients with painful exacerbations of osteoarthritis of the hip. Corticosteroid injection is widely recommended as a first-line treatment for painful osteoarthritis of the hip. Bedside ultrasound is readily available in most emergency departments; however, using ultrasound to guide therapeutic hip injections has not yet been described in emergency practice. Herein, we present the first description of a successful emergency physician-performed ultrasound-guided hip injection of local anesthetic and corticosteroid for pain control in a patient with an acute exacerbation of osteoarthritis.
超声引导下髋关节腔内皮质类固醇注射可能对治疗髋关节骨关节炎疼痛急性加重的急救医护人员有用。皮质类固醇注射被广泛推荐为治疗髋关节骨关节炎疼痛的一线治疗方法。床边超声在大多数急诊科都很容易获得；然而，在急诊实践中，使用超声引导治疗性髋关节注射尚未被描述。在此，我们首次描述了一名急性骨关节炎发作的患者，由一名急诊医生成功进行了超声引导下的髋关节局部麻醉和皮质类固醇注射，以控制疼痛。
