ABSTRACT
This chapter discusses injections into the hip and knee joints, and soft tissues around these, covering indications, contraindications, how to administer them and alternative therapies. The most commonly performed injections around the hip joint are those given into the lateral soft tissues around the hip for greater trochanteric pain syndrome. Intra-articular injections to the hip are less common and generally routinely performed in the hospital setting with image intensifier guidance. Injections into the soft tissues lateral to the hip and intra-articular knee joint injections are usually given in an outpatient or primary care setting without any imaging support, although ultrasound-guided injections have been increasingly used around the lateral aspect of the hip, particularly in recalcitrant cases. Intra-articular hip injections are performed in both adults and paediatric patients. In adults there are a number of indications for hip injections, with the commonest being diagnostic.
