Hip Osteoarthritis
Conditions
Brief summary
The most common cause of hip joint dysfunction in the elderly is degenerative osteoarthritis of the hip. Innervation of the hip joint capsule is provided by the obturator nerve, the accessory obturator nerve, and the femoral nerve. With pericapsular nerve group block (PENG), by blocking the femoral nerve and the accessory obturator nerve, analgesia is successfully provided for the hip joint. Intra-articular injection of corticosteroids; It is used as an alternative to surgical interventions because it reduces inflammation and short-term pain and is a minimally invasive method. The investigators aim to compare and report patients who underwent ultrasound-guided intra-articular steroid injection and PENG block in terms of post-procedural pain scores and patient satisfaction.
Interventions
PROCEDUREintraarticular injection
Ultrasound-guided intraarticular injection
PROCEDUREpeng block
Ultrasound-guided PENG block
Sponsors
Diskapi Teaching and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Hip pain NRS \> 4 * No pathologies in the laboratory and coagulation parameters
Exclusion criteria
* Rheumatological disease with hip involvement * Systemic active infection * Malignancy * History of hip joint surgery * History of traumatic hip injury * Platelets values \< 150.000 / µl * History of bleeding disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| numerical rating scale (NRS) pain score | change from baseline to day 1, week 2, 4, 8 after the block | The 11-point NRS consists of numbers between 0 and 10 where 0 indicates no pain and 10 indicates maximum pain. The patient is instructed to identify one number between 0 and 10, which is best representative of their pain intensity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life (WOMAC) | baseline to 8 weeks | The Western Ontario and McMaster Universities (WOMAC) is a self-administered health status measure and consists of 24 items divided into three domains, which are pain, stiffness, and physical function, validated to patients with hip or knee osteoarthritis |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in Harris Hip Score (HHS) | baseline to 8 weeks | The Harris Hip Score (HHS) is a joint-specific measure, and it consists of two sections: questions and a physical examination, including a range of motion and deformity items. The score has a maximum of 100 points with a maximum of 44 points for pain, 47 for function, 4 points for absence of deformity, and 5 points for a range of motion. The highest score of 100 points indicates the best function and no pain. |
Countries
Turkey (Türkiye)
Outcome results
None listed