Pre-injection local anesthesia does not affect experienced pain in intra-articular hip injections  

作　　者：Assaf Albagli Ehud Rath Ido Druckmann Ben Efrima Efi Kazum Nata Parnes Alexis B Sandler John Tyler Eyal Amar 

机构地区：[1]Department of Orthopedic,Tel Aviv Medical Center,Tel Aviv-Yafo 6801298,Tel Aviv,Israel [2]Department of Orthopedic,Tel Aviv Sourasky Medical Center,Tel Aviv 64239,Israel [3]Department of Radiology,Tel Aviv Medical Center,Tel Aviv-Yafo 6801298,Tel Aviv,Israel [4]Sackler School of Medicine,Tel Aviv University,Tel Aviv-Yafo 6801298,Tel Aviv,Israel [5]Department of Orthopedic Surgery,Carthage Area Hospital,Carthage,NY 13619,United States [6]Department of Orthopedic Surgery,Texas Tech University Health Sciences-El Paso,El Paso,TX 79905,United States [7]Department of Orthopedic Surgery,Loyola University Chicago Stritch School of Medicine,Maywood,IL 60153,United States [8]Department of Orthopedic,Tel Aviv University,Tel Aviv 62308,Israel

出　　处：《World Journal of Orthopedics》2025年第2期20-27,共8页世界骨科杂志(英文)

基　　金：approved by the Medical Ethics Committee of the Tel Aviv Sourasky Medical Center Institutional Review Board,approval No.TLV-0674-21.

摘　　要：BACKGROUND Intra-articular hip injections(IAHIs)are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear.The disparity between anticipated and experienced pain during IAHIs and the role of preinjection local anesthesia in pain modulation remains unclear.AIM To investigate the difference between anticipated and experienced pain during IAHIs and the impact of pre-injection local anesthesia.METHODS This prospective study enrolled 60 patients undergoing IAHI,30 receiving pre-injection superficial local anesthesia and 30 serving as a control group without pre-injection local anesthesia.Pain levels were assessed using numeric rating scales.RESULTS Patients significantly overestimated anticipated pain compared to experienced pain(6.43±2.48 vs 3.68±2.37,P<0.001).Pre-injection local anesthesia did not significantly reduce experienced pain(3.19±2.38 vs 4.20±2.29,P=0.130).CONCLUSION Patients overestimate anticipated pain during IAHIs.Pre-injection local anesthesia does not reduce experienced pain.

关 键 词：HIP INJECTION Patient experience PAIN Practice management 

分 类 号：R61[医药卫生—外科学]