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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
Author(s) -
Khan James S.,
Krane Elliot J.,
Higgs Maureen,
Pritzlaff Scott,
Hoffinger Scott,
Ottestad Einar
Publication year - 2019
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/papr.12724
Subject(s) - medicine , surgery , hip pain , refractory (planetary science) , percutaneous , denervation , physics , astrobiology , anatomy
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%.