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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| intraarticular injection | Experimental | intra-articular steroid injection with the ultrasound guidance technique, |
|
| peng block | Active Comparator | Ultrasound guided drug injection between to iliopubic eminentia and psoas tendon |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| intraarticular injection | Procedure | Ultrasound-guided intraarticular injection |
| |
| Measure | Description | Time Frame |
|---|---|---|
| numerical rating scale (NRS) pain score | 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. | change from baseline to day 1, week 2, 4, 8 after the block |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of Life (WOMAC) | 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 | baseline to 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Harris Hip Score (HHS) | The Harris Hip Score (HHS) is a joint-specific measure, and it consists of two sections: questions and a physical examination, including a range of motion and deformity items. The score has a maximum of 100 points with a maximum of 44 points for pain, 47 for function, 4 points for absence of deformity, and 5 points for a range of motion. The highest score of 100 points indicates the best function and no pain. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| selin guven kose | Diskapi Teaching and Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Diskapi Yildirim Beyazit Training and Research Hospital | Ankara | 06110 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D015207 | Osteoarthritis, Hip |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D007270 | Injections, Intra-Articular |
| ID | Term |
|---|---|
| D007267 | Injections |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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| peng block |
| Procedure |
Ultrasound-guided PENG block |
|
| baseline to 8 weeks |
| D012216 |
| Rheumatic Diseases |