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

James S. Khan, Elliot J. Krane, Maureen Higgs, Scott Pritzlaff, Scott Hoffinger, Einar Ottestad

Research output: Contribution to journalArticlepeer-review

Abstract

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%.

Original languageEnglish (US)
Pages (from-to)52-56
Number of pages5
JournalPain Practice
Volume19
Issue number1
DOIs
StatePublished - Jan 2019
Externally publishedYes

Keywords

  • hip denervation
  • pain
  • pediatric pain

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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