A Case Report of Combined Ultrasound and Fluoroscopic-Guided Percutaneous Radiofrequency Lesioning of the Obturator and Femoral Articular Branches in the Treatment of Persistent Hip Pain in a Pediatric Patient.


Journal

Pain practice : the official journal of World Institute of Pain
ISSN: 1533-2500
Titre abrégé: Pain Pract
Pays: United States
ID NLM: 101130835

Informations de publication

Date de publication:
01 2019
Historique:
received: 06 01 2018
accepted: 30 05 2018
pubmed: 14 6 2018
medline: 16 4 2019
entrez: 14 6 2018
Statut: ppublish

Résumé

Hip denervation comprising radiofrequency lesioning of the obturator and femoral articular branches is used in adults with refractory hip pain who are not surgical candidates. Persistent hip pain occurs infrequently in pediatric patients, and there are limited data on the safety and efficacy of this procedure in a pediatric population. We provide a case report of a successful ultrasound and fluoroscopic-guided hip denervation procedure in an 11-year-old girl with persistent right hip pain after septic arthritis refractory to conservative and surgical management. At an 18-week follow-up, hip denervation provided improvement in pain, mobility, and reduced opioid consumption by 20%.

Identifiants

pubmed: 29896934
doi: 10.1111/papr.12724
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

52-56

Informations de copyright

© 2018 World Institute of Pain.

Auteurs

James S Khan (JS)

Department of Anesthesiology, Perioperative, and Pain Medicine, Division of Pain Medicine, Stanford University, Palo Alto, California, U.S.A.

Elliot J Krane (EJ)

Department of Anesthesiology, Perioperative, and Pain Medicine, Division of Pain Medicine, Stanford University, Palo Alto, California, U.S.A.
Department of Pediatrics, Stanford University, Palo Alto, California, U.S.A.

Maureen Higgs (M)

Department of Pediatrics, Stanford University, Palo Alto, California, U.S.A.

Scott Pritzlaff (S)

Department of Anesthesiology, Perioperative, and Pain Medicine, Division of Pain Medicine, Stanford University, Palo Alto, California, U.S.A.

Scott Hoffinger (S)

Department of Orthopaedic Surgery, Stanford University, Palo Alto, California, U.S.A.

Einar Ottestad (E)

Department of Anesthesiology, Perioperative, and Pain Medicine, Division of Pain Medicine, Stanford University, Palo Alto, California, U.S.A.

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Classifications MeSH