Comparison of the Effect of Intra Articular Steroid Injection and Pericapsular Nerve Group Block for Hip Osteoarthritis

Study Overview
=================
Brief Summary
-----------------
The most common cause of hip joint dysfunction in the elderly is degenerative osteoarthritis of the hip. Innervation of the hip joint capsule is provided by the obturator nerve, the accessory obturator nerve, and the femoral nerve. With pericapsular nerve group block (PENG), by blocking the femoral nerve and the accessory obturator nerve, analgesia is successfully provided for the hip joint. Intra-articular injection of corticosteroids; It is used as an alternative to surgical interventions because it reduces inflammation and short-term pain and is a minimally invasive method. The investigators aim to compare and report patients who underwent ultrasound-guided intra-articular steroid injection and PENG block in terms of post-procedural pain scores and patient satisfaction.

Official Title
-----------------
Comparison of Ultrasound Guided Intra-articular Steroid Injection and Pericapsular Nerve Group Block (PENG) in Patients With Chronic Hip Pain

Conditions
-----------------
Hip Osteoarthritis

Intervention / Treatment
-----------------
* Procedure: intraarticular injection
* Procedure: peng block


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Hip pain NRS > 4 No pathologies in the laboratory and coagulation parameters Exclusion Criteria: Rheumatological disease with hip involvement Systemic active infection Malignancy History of hip joint surgery History of traumatic hip injury Platelets values < 150.000 / µl History of bleeding disorder

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intraarticular injection<br>intra-articular steroid injection with the ultrasound guidance technique, | Procedure: intraarticular injection<br>* Ultrasound-guided intraarticular injection<br>|
| Active Comparator: peng block<br>Ultrasound guided drug injection between to iliopubic eminentia and psoas tendon | Procedure: peng block<br>* Ultrasound-guided PENG block<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| numerical rating scale (NRS) pain score | The 11-point NRS consists of numbers between 0 and 10 where 0 indicates no pain and 10 indicates maximum pain. The patient is instructed to identify one number between 0 and 10, which is best representative of their pain intensity. | change from baseline to day 1, week 2, 4, 8 after the block | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of Life (WOMAC) | The Western Ontario and McMaster Universities (WOMAC) is a self-administered health status measure and consists of 24 items divided into three domains, which are pain, stiffness, and physical function, validated to patients with hip or knee osteoarthritis | baseline to 8 weeks |