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

NCT05136248 | Completed

• 1 other identifier: 84/18
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

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.

Conditions

Hip Osteoarthritis

Outcome Measures

Primary Outcomes (1)

• 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

Secondary Outcomes (1)

• Quality of Life (WOMAC)

  baseline to 8 weeks

Other Outcomes (1)

• Change in Harris Hip Score (HHS)

  baseline to 8 weeks

Study Arms (2)

intraarticular injection

EXPERIMENTAL

intra-articular steroid injection with the ultrasound guidance technique,

Procedure: intraarticular injection

peng block

ACTIVE COMPARATOR

Ultrasound guided drug injection between to iliopubic eminentia and psoas tendon

Procedure: peng block

Interventions

intraarticular injection PROCEDURE

Ultrasound-guided intraarticular injection

intraarticular injection

peng block PROCEDURE

Ultrasound-guided PENG block

peng block

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Hip pain NRS \> 4
• No pathologies in the laboratory and coagulation parameters

You may not qualify if:

• 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

Sponsors & Collaborators

• Diskapi Teaching and Research Hospital: lead

Study Sites (1)

Diskapi Yildirim Beyazit Training and Research Hospital

Ankara, 06110, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Osteoarthritis, Hip

Interventions

Injections, Intra-Articular

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Intervention Hierarchy (Ancestors)

Injections; Drug Administration Routes; Drug Therapy; Therapeutics

Study Officials

• selin guven kose

  Diskapi Teaching and Research Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal Investigator

Study Record Dates

• First Submitted: September 30, 2021
• First Posted: November 29, 2021
• Study Start: April 25, 2020
• Primary Completion: August 20, 2021
• Study Completion: December 20, 2021
• Last Updated: April 4, 2023

Record last verified: 2023-04

Locations

TU (1)