Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Dec 18;90(1-S):67-74.
doi: 10.23750/abm.v90i1-S.8000.

When is indicated viscosupplementation in hip osteoarthritis?

Francesco Pogliacomi  1 , Paolo Schiavi, Alessandro Paraskevopoulos, Massimiliano Leigheb, Alessio Pedrazzini, Francesco Ceccarelli, Enrico Vaienti
Affiliations

When is indicated viscosupplementation in hip osteoarthritis?

Francesco Pogliacomi et al. Acta Biomed. .

Abstract

Background and aim The incidence of hip osteoarthritis (OA) is increasing in parallel with the aging of the population. The aim of this study is to report the efficacy of an ultrasound-guided intra-articular (IA) hip injection of a single dose of high-weight hyaluronic acid (HA) (2500 kDa) at a follow-up of 12 months. Materials and Methods 226 patients older than 40 years of age affected by painful hip OA (Kellgren-Lawrence stage 1-2-3) were treated from January 2012 to December 2015 with viscosupplementation. Patients were clinically evaluated before injection (T0) and after 3 months (T3), 6 months (T6) and 1 year (T12) through the WOMAC scale and Harris Hip Score (HHS). Results During the follow-up period no patients underwent to hip surgery or need adjunctive IA injection of HA. No adverse effects were registered. An improvement in WOMAC and HHS was observed in all patients after treatment. Results showed that patients with grade 2 of osteoarthritis had the higher delta of change in the scores. Discussion Ultrasound-guided with high weight IA HA injection could be a possibility of treatment in the symptomatic osteoarthritic hip. Subjects with a moderate grade of osteoarthritis (Kellgren-Lawrence stage 2) represent the group that could report the maximum benefits from viscosupplementation.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Ultrasound image with needle (white arrow) around the femoral head (black arrow)
Graph 1.
Graph 1.
Density of WOMAC global scores
Graph 2.
Graph 2.
Density of HHS global scores
Graph 3.
Graph 3.
WOMAC scale results at T0, T3, T6 and T12 in different stages of OA
Graph 4.
Graph 4.
HHS results at T0, T3, T6 and T12 in different stages of OA
See this image and copyright information in PMC

References

    1. Pogliacomi F, Costantino C, Pedrini MF, Pourjafar S, De Filippo M, Ceccarelli F. Anterior groin pain in athlete as consequence of bone diseases: aetiopathogenensis, diagnosis and principles of treatment. Medicina dello Sport. 2014;67(1):1–27.
    1. Pogliacomi F, Costantino C, Pedrini MF, Pourjafar S, De Filippo M, Ceccarelli F. Anterior groin pain in athletes as a consequence of intra-articular diseases: aetiopathogenensis, diagnosis and principles of treatment. Medicina dello Sport. 2014;67(3):341–68.
    1. Pogliacomi F, Calderazzi F, Paterlini M, Pompili M, Ceccarelli F. Anterior iliac spines fractures in the adolescent athlete: surgical or conservative treatment? Medicina dello Sport. 2013;66(2):231–40.
    1. Tait RC, Chibnall JT. Physician judgments of chronic pain patients. Soc Sci Med. 1997;45:1199–205. - PubMed
    1. Wilson MG, Michet CJ Jr, Ilstrup DM, Melton LJ 3rd. Idiopathic symptomatic osteoarthritis of the hip and knee: a population-based incidence study. Mayo Clin Proc. 1990;65(9):1214–21. - PubMed

Substances

LinkOut - more resources