Evidence map›Paper›PMID 33674621›Full record

SynthesisScientific reports2021

A systematic review and meta-analysis of the hip capsule innervation and its clinical implications.

Joanna Tomlinson, Benjamin Ondruschka, Torsten Prietzel, Johann Zwirner, Niels Hammer

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04388553 (Single Shot Lumbar Erector Spinae Plane), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04388553 nacompletednot on this map

Single Shot Lumbar Erector Spinae Plane (ESP) Block in Total Hip Replacement (THR): a Randomized Control Trial

TypeinterventionalSponsorTuen Mun HospitalRan2020 to 2021Enrolled71ConditionsTotal Hip Replacement, AnalgesiaArmssingle shot lumbar Erector Spinae Plane block
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Capsular management strategies in hip arthroscopy for femoroacetabular impingement syndrome: A multilevel meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 3 countries.

Joanna TomlinsonDepartment of Anatomy, School of Biomedical Sciences, University of Otago, Dunedin, Otago, New Zealand. jcltomlinson@hotmail.co.uk.
Benjamin OndruschkaInstitute of Legal Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Torsten PrietzelDepartment of Orthopaedics, Trauma and Reconstructive Surgery, Zeisigwaldkliniken Bethanien, Chemnitz, Saxony, Germany.
Johann ZwirnerDepartment of Anatomy, School of Biomedical Sciences, University of Otago, Dunedin, Otago, New Zealand.
Niels HammerInstitute of Macroscopic and Clinical Anatomy, University of Graz, Graz, Styria, Austria. niels.hammer@medunigraz.at.
Universität Hamburg · DEKrankenhaus Bethanien · DEUniversity of Graz · ATUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Detailed understanding of the innervation of the hip capsule (HC) helps inform surgeons' and anaesthetists' clinical practice. Post-interventional pain following radiofrequency nerve ablation (RFA) and dislocation following total hip arthroplasty (THA) remain poorly understood, highlighting the need for more knowledge on the topic. This systematic review and meta-analysis focuses on gross anatomical studies investigating HC innervation. The main outcomes were defined as the prevalence, course, density and distribution of the nerves innervating the HC and changes according to demographic variables. HC innervation is highly variable; its primary nerve supply seems to be from the nerve to quadratus femoris and obturator nerve. Many articular branches originated from muscular branches of the lumbosacral plexus. It remains unclear whether demographic or anthropometric variables may help predict potential differences in HC innervation. Consequently, primary targets for RFA should be the anterior inferomedial aspect of the HC. For THA performed on non-risk patients, the posterior approach with capsular repair appears to be most appropriate with the lowest risk of articular nerve damage. Care should also be taken to avoid damaging vessels and muscles of the hip joint. Further investigation is required to form a coherent map of HC innervation, utilizing combined gross and histological investigation.

Indexed as

Arthroplasty, Replacement, HipCadaverFemoral NerveHip JointHumansJoint CapsuleObturator NervePostoperative PainRadiofrequency AblationSciatic Nerve

Identifiers

PMID33674621
PMCPMC7935927
OpenAlexW3135275998

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.