Clinical trial NCT06833242: Single-plane Versus Real-time Biplane Approaches for Ultrasound-Guided Hip Joint Injection: A Prospective Randomized Controlled Clinical Study
Official title: Single-plane Versus Real-time Biplane Approaches for Ultrasound-Guided Hip Joint Injection: A Prospective Randomized Controlled Clinical Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hip Pain
Keywords: Hip Joint
Puncture
Injection
Single-plane
Real-time biplane
Lead sponsor: Chinese PLA General Hospital
Sponsor class: OTHER
First posted: 2025-02-18
Enrollment: 70
Sex: ALL
Minimum age (years): 15
Maximum age (years): 80
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The goal of this clinical trial is to compare the safety and accuracy of single-plane and real-time biplane ultrasound imaging in guiding hip joint injections and explore the application effects of imaging technology in hip joint injections.

Detailed description: Real-time biplane imaging, an emerging ultrasound technology, uses a three-dimensional (3D) matrix transducer to display simultaneously he longitudinal and transverse intersecting planes on a single screen without requiring rotation of the transducer. The modality displays the puncture path in real-time and exhibits the spatial relationship between the needle tip and the target site, as well as surrounding structures during guided puncture. This technology significantly improves the puncture success rate and reduces complication rates in procedures such as the placement of intrahepatic bile duct drains and central venous catheters. However, this technology has not yet been implemented for hip joint injections. Therefore, we compared the safety and accuracy of single-plane and real-time biplane ultrasound imaging in guiding hip joint injections and explored the application effects of imaging technology in hip joint injections.

Eligibility criteria: Inclusion Criteria:

1.15 to 80 years of age; 2.hip joint pain and/or limited hip joint mobility; 3.physical examination and imaging studies indicating hip joint pathology; 4.pain duration exceeding 6 months with no significant improvement after conservative treatment; 5.patients scheduled for hip arthroscopy.

Exclusion Criteria:

1. a history of hip joint surgery;
2. the presence of lumbar disease, ankylosing spondylitis, or sacroiliac-joint pathology;
3. femoral head necrosis;
4. drug allergies;
5. inability to cooperate, or other contraindications to puncture.

Primary outcomes:
measure: The first-attempt success rate
timeFrame: during operation
measure: The final success rate
timeFrame: during operation
Secondary outcomes:
measure: Puncture time
timeFrame: during operation
measure: The number of needle adjustments
timeFrame: during operation
measure: The operator confidence score
timeFrame: during operation
measure: Complications
timeFrame: during operation
Other outcomes:
Locations:
city: Beijing
country: China
facility: The First Medical Center of the PLA General Hospital
Study officials:
affiliation: Chinese PLA General Hospital
name: Mingbo Zhang
role: STUDY_CHAIR
affiliation: Chinese PLA General Hospital
name: Guozheng Zhao
role: STUDY_DIRECTOR
References: