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Papers of the Week


2022 Apr


Clin Sports Med


41


2

Regional Anesthesia for Hip Arthroscopy.

Authors

Amato PE, Winkelman AJ, Forster GL, Gwathmey WF
Clin Sports Med. 2022 Apr; 41(2):233-246.
PMID: 35300837.

Abstract

Pain after hip arthroscopy can be severe, yet we lack a consensus method for non-narcotic analgesia. Here we describe anatomic elements of hip arthroscopy and our current understanding of the relevant sensory innervation as a prelude to the evaluation of locoregional analgesic techniques. Many regional nerve blocks and local anesthetic infiltration techniques are reviewed, including 2 newer ultrasound fascial plane blocks. Further study of targeted, motor-sparing approaches, either ultrasound-guided or under direct surgical visualization is needed.