Comparison of the Effect of Intra Articular Steroid Injection and Pericapsular Nerve Group Block for Hip Osteoarthritis

Not Applicable

Completed

• Conditions: Hip Osteoarthritis
• Interventions: Procedure: peng block; Procedure: intraarticular injection

• Registration Number: NCT05136248
• Lead Sponsor: Diskapi Teaching and Research Hospital

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-04-25
• Primary Completion: 2021-08-20
• Study First Submitted: 2021-09-30
• Study First Submitted QC: 2021-11-25
• Study First Posted: 2021-11-29
• Study Completion: 2021-12-20
• Status Verified: 2023-04
• Last Update Submitted: 2023-04-02
• Last Update Posted: 2023-04-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
peng block	peng block	Ultrasound guided drug injection between to iliopubic eminentia and psoas tendon
intraarticular injection	intraarticular injection	intra-articular steroid injection with the ultrasound guidance technique,

Primary Outcome Measures

Name	Time	Method
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 Outcome Measures

Name	Time	Method
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

Trial Locations

Locations (1)

Diskapi Yildirim Beyazit Training and Research Hospital; 🇹🇷 Ankara, Turkey