Evidence map›Paper›PMID 34409739›Full record

ArticleOrthopaedic surgery2021

Utility of Ultrasound-Guided Anesthetic Intra-articular Injection to Estimate the Outcome of Hip Arthroscopy in Patients with Femoroacetabular Impingement Syndrome.

Shoupeng Li, Chunbao Li, Huanfang Wang, Yukun Luo, Haipeng Li, Mingbo Zhang

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 11% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 13 citations in OpenAlex.

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  10. Gadolinium injected concurrently with anesthetic can result in false-negative diagnostic intra-articular hip injections.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
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

6 authors at 1 institution in 1 country.

Shoupeng LiDepartment of Ultrasound, The First Medical Center, General Hospital of Chinese PLA, Beijing, China.
Chunbao LiDepartment of Orthopedics, The Fourth Medical Center, General Hospital of Chinese PLA, Beijing, China.ORCID https://orcid.org/0000-0002-6513-8946
Huanfang WangDepartment of Ultrasound, The First Medical Center, General Hospital of Chinese PLA, Beijing, China.
Yukun LuoDepartment of Ultrasound, The First Medical Center, General Hospital of Chinese PLA, Beijing, China.
Haipeng LiDepartment of Orthopedics, The Fourth Medical Center, General Hospital of Chinese PLA, Beijing, China.ORCID https://orcid.org/0000-0003-0620-6360
Mingbo ZhangDepartment of Ultrasound, The First Medical Center, General Hospital of Chinese PLA, Beijing, China.ORCID https://orcid.org/0000-0002-7990-3493
Chinese PLA General Hospital · CN

Funding

Beijing Natural Science Foundation 7192195Medical science and technology youth program 19QNP070Medicine innovation research project of PLA General Hospital CX19004the clinical research support fund of PLA General Hospital 2019XXJSYX18
6 · The paper itself

Abstract

objectiveTo investigate the effectiveness of ultrasound (US) guided intra-hip joint injection to estimate the outcome of hip arthroscopy in patients with femoroacetabular impingement (FAI) syndrome.

methodsPatients with FAI syndrome (n = 60) were prospectively enrolled in our study. Before hip arthroscopy, a mix of 4 mL 2% lidocaine and 4 mL 1% ropivacaine were injected into the hip joint under the guidance of US. The clinical efficacy of the intra-articular injection was evaluated by comparing the visual analog scale (VAS) and international hip outcome tool 12 (iHOT-12) results before and after the injection. The outcome of hip arthroscopy was evaluated by iHOT-12, the modified Harris hip score (MHHS), and the patient's satisfaction 12 months after the operation. The outcome of intra-articular injection and hip arthroscopy were compared. Factors related to the outcomes of hip arthroscopy were evaluated. The correlation between the efficacy of intra-hip joint injection and arthroscopy was evaluated.

resultsThe VAS of patients decreased from 11.3 ± 7.7 to 3.3 ± 4.5, and the iHOT-12 increased from 52.1 ± 23.2 to 84.1 ± 18.1 after intra-articular injection (all P < 0.001). The iHOT-12 score increased from 52.1 ± 23.2 to 78.9 ± 19.2, and the MHHS increased from 66.5 ± 6.8 to 81.6 ± 8.1 after hip arthroscopy (all P < 0.001). The satisfaction rate of arthroscopy, including very satisfied and effective patients, was 93.3%. Multi-variable logistic regression showed that only iHOT-12 improved value after injection was included in the regression formula of satisfaction, with the β of -0.154, standard error of 0.071, Wald value of 4.720, and OR of 0.857 (95%CI 0.746-0.985) (P = 0.03). Significant correlation was detected between iHOT-12 scores after intra-articular anesthesia and at 12 months after arthroscopy (r = 0.784, P < 0.001). So was the iHOT-12 improved value (r = 0.781, P < 0.001) and the iHOT-12 improved ratio (r = 0.848, P < 0.001). If we had performed arthroscopy only on patients with post-injection iHOT-12 score improvement ≥10, the satisfaction rate of arthroscopy would have increased to 96.6%.

conclusionsUS-guided intra-hip joint injection may provide a feasible way to estimate the outcome of hip arthroscopy in patients with FAI syndrome, and could be used as a method for indication selection of hip arthroscopy.

Indexed as

AdolescentAdultAgedAnesthetics, LocalArthroscopyFemaleFemoracetabular ImpingementHumansInjections, Intra-ArticularLidocaineMaleMiddle AgedPain MeasurementPatient Reported Outcome MeasuresPatient SatisfactionProspective StudiesAnesthetics, LocalLidocaineRopivacaineArthroscopyFemoroacetabular impingement syndromeHipOutcomeUltrasound

Identifiers

PMID34409739
PMCPMC8523756
OpenAlexW3193950107

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.