Is anesthetic hip joint injection useful in diagnosing hip osteoarthritis? A meta-analysis of case series

J Arthroplasty. 2014 Jun;29(6):1236-1242.e1. doi: 10.1016/j.arth.2013.12.008. Epub 2013 Dec 28.


To assess the diagnostic value of intra-articular anesthetic hip injection in patients with hip pain atypical for osteoarthritis (OA), literature was searched. Included were studies assessing the diagnostic value of anesthetic hip injections in differentiating between pain caused by OA or another source. Pooled estimates of sensitivity and specificity with 95% confidence intervals (CI) were calculated. Of the 1387 potentially eligible articles, nine case series with high risk of bias could be included. The pooled sensitivity was 0.97 (95% CI 0.87, 0.99). Specificity was 0.91 (95% CI 0.83, 0.95). For clinical practice, no recommendation can be made regarding the use of hip injections for diagnosing hip OA. High quality, accurately reported studies are needed to provide better evidence on the diagnostic role of hip injection.

Keywords: diagnostic accuracy; hip; intra-articular anesthetic injection; osteoarthritis; systematic review.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anesthetics, Local / administration & dosage*
  • Arthralgia / drug therapy*
  • Child
  • Glucocorticoids / administration & dosage
  • Humans
  • Injections, Intra-Articular
  • Middle Aged
  • Osteoarthritis, Hip / diagnosis*
  • Young Adult


  • Anesthetics, Local
  • Glucocorticoids