The anterior superior iliac spine is a reliable novel landmark for preemptive periacetabular analgesia in hip arthroscopy

ABSTRACT Appropriate post-operative (post-op) pain control has been shown to reduce length of stay and facilitate day case surgery. Periacetabular injection bupivacaine is effective in reduction after hip arthroscopy. This study aims evaluate the anterior superior iliac spine (ASIS) as an anatomical landmark needle insertion prior fluoroscopy. The meeting point derived from a vertical line one fingerbreadth distal ASIS longitudinal greater trochanter (GT) was used 30 consecutive arthroscopy patients for periacetabular analgesia. distance between tip acetabular roof measured via Needle location corrected if needed, followed by (at anterior, lateral posterior joint aspects). Post-op using Visual Analog Scale (VAS) 4–6 h post-op at discharge. GT were identified analgesia landmarks all cases. Results revealed that 93.3% entries fell within 10 mm rim only had fallen it. mean VAS score 1.03 (range 0–6, standard error – 0.30, median = 0). At hospital discharge, 90% (27/30 patients) reported ≤ 5. Twenty-six discharged on same operation (remaining four stayed due accommodation/traveling issues). can be with reproducible location, significant analgesic effect minimal radiation.