Hip joint lateral approach


Cause, clinical and ultrasound findings

  • Pain in the hip.

  • An injection may be used to determine whether the pain arises from the hip joint rather than referred pain from the spine.

  • The femoral head and neck are identified by providing a scan plane along the neck in a coronal oblique plane.

  • Hypoechogenic fluid is seen underneath the iliofemoral ligament if an effusion is present.

Equipment and drugs

Syringe Needle Lidocaine 1% Triamcinolone 40 mg/mL (Kenalog) Bupivacaine hydrochloride 0.25% (Marcaine)
5 mL 23G Orange
21G Green
5 mL
5 mL 22G Spinal needle Black 1 to 2 mL 2 mL

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