Poster 452 Bipolar Radiofrequency Ablation for the Treatment of Hip Joint Pain Using a Perpendicular Approach: A Case Report

PM&R ◽  
2016 ◽  
Vol 8 (9) ◽  
pp. S308
Author(s):  
Rupa P. Austria ◽  
Franz Macedo
Author(s):  
Lynn H. Koh ◽  
Henry KK Tan

<p class="abstract">Lymphatic malformations of the head and neck region frequently involve the upper aero digestive tract. Patients with these lymphatic malformations may present in early infancy with sudden airway compromise. This necessitates early intervention with intubation or tracheostomy for airway stabilization. The etiology and pathogenesis of lymphatic malformations is still unclear, and a wide array of treatment modalities has been proposed. We present a case report of a neonate with a lymphatic malformation involving the upper airway, and discuss how the patient was initially stabilized with a tracheostomy, following which he underwent a series of staged procedures, including bipolar radiofrequency ablation, which eventually led to successful decannulation.</p>


2006 ◽  
Vol 19 (2) ◽  
pp. 282 ◽  
Author(s):  
Keun Man Shin ◽  
Sung Keun Nam ◽  
Myo Jin Yang ◽  
Seong Joon Hong ◽  
So Young Lim ◽  
...  

2017 ◽  
Vol 13 (02) ◽  
pp. 61-64
Author(s):  
Samatit Pornwattanavate ◽  
Olarn Arpornchayanon ◽  
Sirichai Luevitoonvechkij ◽  
Dumnoensun Pruksakorn

2021 ◽  
pp. 112070002199626
Author(s):  
Oliver Eberhardt ◽  
Thekla von Kalle ◽  
Rebecca Matthis ◽  
Richard Doepner ◽  
Thomas Wirth ◽  
...  

Introduction: It is often difficult to clinically and radiologically diagnose intra-articular osteoid osteomas and osteoid osteomas of the hip joint. Treatment can also be difficult due to complex locational relationships. CT-guided radiofrequency ablation is currently the standard form of treatment. In this paper we report on a minimally-invasive concept for treating osteoid osteomas near the hip joint in children and adolescents which does not involve using computed tomography. Material and method: 10 patients with an average age of 12.1 years underwent treatment for osteoid osteomas in the hip joint region. The diagnosis was made using a contrast-enhanced MRI. The osteoid osteomas were marked percutaneously using x-ray and MRI guidance. MRI-guided drilling/curettage was performed in 4 cases and arthroscopic resection in 6 cases. Results: All lesions were successfully treated using the MRI-guided method. All patients were free of pain after the treatment. There was no instance of recurrence during the follow-up period, which averaged 10 months. The effective dose for marking the lesion was between 0.0186 mSv and 0.342 mSV (mean 0.084 mSV). Conclusions: Our MRI diagnostics protocol, the MRI-guided drilling and the minimally invasive hip arthroscopy represent an alternative to CT-guided radiofrequency ablation in the treatment of osteoid osteomas. Radiation exposure can thereby be significantly reduced. Hip arthroscopy can also be used to treat secondary pathologies such as femoroacetabular impingement.


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