Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

We investigated 42 patients who were being considered for primary total hip arthroplasty (THA), but in whom it was uncertain whether the hip was the source of their pain. They were given an injection of local anaesthetic into the joint space. Of 33 patients who gained pain relief from their injection, 32 subsequently had successful THA. The remaining patient has not had surgery. The intra-articular injection of local anaesthetic is thus at least 96% sensitive. Of the nine patients who had no or only minimal pain relief from injection, one has had an unsuccessful THA, three have been successfully treated for other conditions and five have unresolved pain for which no organic basis has been established. We believe that the injection of local anaesthetic into the hip is a reliable test, with low morbidity. In difficult cases it will aid in the clarification of the cause of pain which possibly arises from the hip.


Journal article


J bone joint surg br

Publication Date





279 - 281


Anesthetics, Local, Arthroplasty, Replacement, Hip, Bupivacaine, Female, Follow-Up Studies, Hip Joint, Humans, Injections, Intra-Articular, Male, Nerve Compression Syndromes, Osteitis Deformans, Osteoarthritis, Patient Satisfaction, Peripheral Nervous System Diseases, Reproducibility of Results, Sensitivity and Specificity, Spinal Diseases, Spinal Nerve Roots, Treatment Failure, Treatment Outcome