title: Is anesthetic hip joint injection useful in diagnosing hip osteoarthritis? A meta-analysis of case series.
abstract: To assess the diagnostic value of intra-articular anesthetic hip injection in patients with hip pain atypical for osteoarthritis (OA), literature was searched. Included were studies assessing the diagnostic value of anesthetic hip injections in differentiating between pain caused by OA or another source. Pooled estimates of sensitivity and specificity with 95% confidence intervals (CI) were calculated. Of the 1387 potentially eligible articles, nine case series with high risk of bias could be included. The pooled sensitivity was 0.97 (95% CI 0.87, 0.99). Specificity was 0.91 (95% CI 0.83, 0.95). For clinical practice, no recommendation can be made regarding the use of hip injections for diagnosing hip OA. High quality, accurately reported studies are needed to provide better evidence on the diagnostic role of hip injection.
authors: Department of General Practice, Erasmus MC, University Medical Center Rotterdam, The Netherlands.
authors: Desiree M J
authors: DM
authors: Dorleijn
authors: Department of General Practice, Erasmus MC, University Medical Center Rotterdam, The Netherlands.
authors: Pim A J
authors: PA
authors: Luijsterburg
authors: Department of General Practice, Erasmus MC, University Medical Center Rotterdam, The Netherlands; Department of Orthopaedics, Erasmus MC, University Medical Center Rotterdam, The Netherlands.
authors: Sita M A
authors: SM
authors: Bierma-Zeinstra
authors: Department of Orthopaedics, Erasmus MC, University Medical Center Rotterdam, The Netherlands.
authors: Pieter K
authors: PK
authors: Bos
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000008:administration & dosage*; D018771:Arthralgia / Q000188:drug therapy*; D002648:Child; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D007270:Injections, Intra-Articular; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000175:diagnosis*; D055815:Young Adult
chemical_list: D000779:Anesthetics, Local; D005938:Glucocorticoids
keywords: diagnostic accuracy; hip; intra-articular anesthetic injection; osteoarthritis; systematic review