Background: The hip joint is frequently affected in axial spondyloarthritis (SpA) of adults with destructive effects in untreated patients. About 35% of axial SpA patients had either unilateral or bilateral hip arthritis. Destruction is more common with early-onset, active disease, or enthesitis. Objectives: The aim of this study is to evaluate the effect of hip denervation (HD) and intra-articular hydration (IAH) on pain, function score, hip mobility scores in a cohort of axial SpA patients with grade 3 and 4 hip BASRI scores.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
Lidocaine 2% 2ml was injected into each genicular nerve
10 ml; of normal; saline were injected inside the hip joint
hip denervation and intra-articular hydration were conducted together
Normal; saline was injected subcutaneously
Ahmed Elsaman
Sohag, Egypt
Change in visual analogue scale
0 means no pain, 100 means the highest degree of pain
Time frame: Baseline , after 4 weeks and after 12 weeks
Change in Harris functional hip score
Pain receives 44 points, function 47 points, range of motion 5 points, and deformity 4 points. Function is subdivided into activities of daily living (14 points) and gait (33 points). The higher the HHS, the less dysfunction. A total score of \<70 is considered a poor result; 70-80 is considered fair, 80-90 is good, and 90-100 is an excellent result
Time frame: Baseline, after 4 weeks and after 12 weeks
Change in range of motion of the hip
hip flexion, extension , internal; rotation , external; rotation , abduction , and adduction all were recopreded
Time frame: Baseline, after 4 weeks and after 12 weeks
Change in semiquantitative tenderness score
a score from 0-3, 90 means no tenderness and 3 means maximum tenderness
Time frame: Baseline, after 4 weeks and after 12 weeks
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