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Review
. 2024 Jun;42(2):233-246.
doi: 10.1016/j.anclin.2023.11.015.

Regional Anesthesia for Hip Arthroscopy

Peter E Amato  1 , Andrew J Winkelman  2 , Grace L Forster  2 , F Winston Gwathmey Jr  3
Affiliations
Review

Regional Anesthesia for Hip Arthroscopy

Peter E Amato et al. Anesthesiol Clin. 2024 Jun.

Abstract

Pain after hip arthroscopy can be severe, yet we lack a consensus method for non-narcotic analgesia. Here we describe anatomic elements of hip arthroscopy and our current understanding of the relevant sensory innervation as a prelude to the evaluation of locoregional analgesic techniques. Many regional nerve blocks and local anesthetic infiltration techniques are reviewed, including 2 newer ultrasound fascial plane blocks. Further study of targeted, motor-sparing approaches, either ultrasound-guided or under direct surgical visualization is needed.

Keywords: Analgesia; Anatomy; Hip arthroscopy; Nerve blocks; Regional anesthesia.

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Conflict of interest statement

Disclosure Dr F.W. Gwathmey is a consultant and speaker for Arthrex, a consultant for Allosource, and receives royalties from Elsevier. None of the other authors have any disclosures with regard to this article.

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