Ultrasound‐Guided Hip Pericapsular, Rectus Femoris Peritendinous, and Iliopsoas Bursa Injections Improve Extra‐articular Post‐arthroscopy Hip Pain

作者：Meghan Sahr, Hanley Ong, Karthik Krishnan, Shu-Han Wang, Danyal H. Nawabi, Theodore T. Miller · 发表于：Arthroscopy Sports Medicine and Rehabilitation · 年份：2026 · DOI：10.1002/ars2.70042 · 研究领域：Hip disorders and treatments、Orthopaedic implants and arthroplasty、Tendon Structure and Treatment

Purpose To determine the short‐ and medium‐term efficacy of ultrasound‐guided hip pericapsular, rectus femoris peritendinous, and iliopsoas bursa injections with anesthetic and corticosteroid to treat post‐arthroscopy hip pain, and if any operative variables correlated with response likelihood. Methods Retrospective search for ultrasound‐guided injections performed from January 2015 to March 2024 was conducted. Inclusion criteria were history of hip arthroscopy to treat femoroacetabular impingement syndrome, persistent bothersome symptoms after conservative management including physical therapy, exclusion of intra‐articular pain sources; and treatment with simultaneous ultrasound‐guided injection of the hip capsule, rectus femoris tendon, and iliopsoas bursa. Responses immediately after the injection and at the next follow‐up visit were recorded. Likelihood of positive injection response was correlated with operative variables. Results Fifty‐two injections in the same number of hips (28 men, 31 right hips) were performed a median of 308 days, range [121‐1300] following hip arthroscopy to treat femoroacetabular impingement syndrome. Immediately after the injection, 42 patients experienced improvement in symptoms, 2 had no improvement and 8 were unable to assess the immediate effect. The pre‐injection average visual analog score of 3.5 [SD ± 2.4] decreased to 0.4 [SD ± 1] immediately after the injections. At the next clinical follow‐up visit, 36 (69%) reported at least some imp...