VIDEO: Hip Intraarticular Steroid Injection Under Fluoroscopy

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Left Hip Injection under Fluoroscopy

By Chris Faubel, M.D. —

Left Hip Injection under Fluoroscopy

Video of a left hip intraarticular steroid injection under fluoroscopic guidanceClick the black title link above (if you can’t see the video).

8 COMMENTS

  1. Hi….This website is very useful.Thanks for sharing the tips.Do post for other intervention radiology procedure ( Biopsy/ drainage catheter..etc..)

  2. I just had this procedure done and it was extremely painful!!!
    Is this normal? I did not feel numb when the procedure was started which only took a few minutes.

    • It isn’t common at all to feel extreme pain during the procedure. With that said, after doing 100+ of these, I’ve had maybe 2 patients that were very sensitive to every movement of the needle no matter how much lidocaine was used to numb the area.

    • Not really. With this injection, you need to “hit the bone”, get the patient to relax the leg by letting it fall in external rotation a bit, and then inject the contrast to confirm intra-articular spread. Don’t pull back at all. I usually use 1 ml of depo-medrol and 3 ml of 1% lidocaine.

  3. Hello Christopher Faubel,
    Is there any advantage of lateral approach to intra-articular hip injection over anterior approach. (Image guided)

    • The only advantage is that there is no real chance of coming close to the femoral artery with the lateral approach. I still prefer the anterior approach because it is much easier (straight down), much quicker, and with a quick check of the femoral pulse, just as safe.

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