• Carolyn M Sofka, Gregory Saboeiro, and Ronald S Adler.
• Department of Radiology and Imaging Hospital for Special Surgery, Weill Medical College of Cornell University, 535 East 70th Street, New York, NY 10021, USA. sofkac@hss.edu
• J Vasc Interv Radiol. 2005 Aug 1;16(8):1121-3.

PurposeThe authors believe that ultrasound as a primary method of image guidance for performing hip aspirations is underutilized, and the authors report their experience in performing ultrasound-guided hip injections in 358 patients, using a free-hand technique.Materials And MethodsA retrospective review of all adult ultrasound-guided hip injections performed at the authors' institution over a four-year period was performed.ResultsRetrospective review of an ultrasound database revealed 358 adult hip aspirations/injections were performed at the authors' institution from October 2000-October 2004. All procedures were performed using a longitudinal, anterior approach and without the use of a needle guide. There were no reported cases of inadvertent vascular or femoral nerve puncture.ConclusionsTo the authors' knowledge, this is the largest reported series of sonographically-guided adult hip aspirations/injections without the use of a needle guide. The authors believe that ultrasound as a primary method of image guidance for performing hip aspirations is underutilized. The absence of radiation and relatively short procedure time of ultrasound-guided hip injections are favorable factors to both the authors' referring clinician population as well as the patients.

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