bilateral hip injections

[med7343]

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HI, thoughts on doing bilateral hip injections for bilateral hip OA. Any contraindication other than increase risk of Avascular necrosis.

 

[MD87]

No issue other than that the effort/$ ratio is horrendous given the cleaning/prep time.

 

[lobelsteve]

Why do you think there’s an increased risk of a vascular necrosis?

 

[med7343]

Why do you think there’s an increased risk of a vascular necrosis?

However, two recent retrospective case series, one published in Radiology and the other in Skeletal Radiology, suggest steroid injection into the hip is associated with increased risk of avascular necrosis (AVN), femoral head collapse, subchondral insufficiency fracture (SIF) and accelerated osteoarthritis progression.Jan 12, 2022

 

[Dr. Ice]

Charity work for ortho. The bilaterals are just annoying

 

[manowar rules]

Bilaterals are annoying but no other contraindication. Hips are the fastest procedure I do.

 

[Laryngospasm]

Unless you spend several minutes for pannus prep and taping and trying to wrestle them onto the table lol

 

[painfree23]

Unless you spend several minutes for pannus prep and taping and trying to wrestle them onto the table lol

Pannus prep should be its own cpt code

 

[Ferrismonk]

Steroids damage any joint they are put in. Hips, knees, shoulders, etc. Only inject them knowing risk/benefit.

No contraindication to bilateral injections other than steroid dosing.