The Role of Ultrasonography in Hip Impingement Syndromes: A Narrative Review

Hip pain is indubitably a frequent clinical problem deriving from copious etiologies. Hip impingement syndromes are one of the most prevalent causes of persistent groin pain, especially in young and active patients. Diligent imaging of the hip region is indispensable to discern femoroacetabular impi...

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Main Authors: Panagiotis Karampinas, Athanasios Galanis, John Vlamis, Michail Vavourakis, Eftychios Papagrigorakis, Evangelos Sakellariou, Dimitrios Zachariou, Spyridon Karampitianis, Elias Vasiliadis, Spiros Pneumaticos
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/15/2609
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author Panagiotis Karampinas
Athanasios Galanis
John Vlamis
Michail Vavourakis
Eftychios Papagrigorakis
Evangelos Sakellariou
Dimitrios Zachariou
Spyridon Karampitianis
Elias Vasiliadis
Spiros Pneumaticos
author_facet Panagiotis Karampinas
Athanasios Galanis
John Vlamis
Michail Vavourakis
Eftychios Papagrigorakis
Evangelos Sakellariou
Dimitrios Zachariou
Spyridon Karampitianis
Elias Vasiliadis
Spiros Pneumaticos
author_sort Panagiotis Karampinas
collection DOAJ
description Hip pain is indubitably a frequent clinical problem deriving from copious etiologies. Hip impingement syndromes are one of the most prevalent causes of persistent groin pain, especially in young and active patients. Diligent imaging of the hip region is indispensable to discern femoroacetabular impingement, as the differential diagnosis of hip pain can be exceedingly arduous. Despite hip radiography being plain and broadly attainable, it offers narrow information concerning soft tissue pathologies around the hip joint (extra-articular hip impingement syndromes). Magnetic resonance imaging and arthrography remain the gold standard examination for detecting intra-articular pathologies; however, they are widely considered expensive, time-consuming and characterized by confined. Consequently, ultrasonography has emerged as an alternative valuable diagnostic tool for distinguishing the underlying abnormalities that trigger femoroacetabular impingement. Proper hip ultrasound examination provides dynamic assessment, while also beneficial for guided intervention around the hip joint. Ultrasound hip examination is exacting due to its complex regional anatomy and deep location. It is capable of providing detailed information about various hip quadrants. An adept operator can identify both intra-articular and extra-articular pathologies. In addition, with ultrasonography, hip injections have been rendered relatively undemanding, aiding in therapeutic and diagnostic purposes. This paper aims to provide a succinct and compendious review of the existing literature, accentuating the crucial role of ultrasonography in diagnosing hip impingement syndromes and determining whether an additional examination is required regarding distinguishing between intra-articular and extra-articular syndromes.
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spelling doaj.art-0e4327c7fb384a9f98d8f30ea108558b2023-11-18T22:47:48ZengMDPI AGDiagnostics2075-44182023-08-011315260910.3390/diagnostics13152609The Role of Ultrasonography in Hip Impingement Syndromes: A Narrative ReviewPanagiotis Karampinas0Athanasios Galanis1John Vlamis2Michail Vavourakis3Eftychios Papagrigorakis4Evangelos Sakellariou5Dimitrios Zachariou6Spyridon Karampitianis7Elias Vasiliadis8Spiros Pneumaticos93rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, 14561 Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, 14561 Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, 14561 Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, 14561 Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, 14561 Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, 14561 Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, 14561 Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, 14561 Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, 14561 Athens, Greece3rd Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General Hospital, 14561 Athens, GreeceHip pain is indubitably a frequent clinical problem deriving from copious etiologies. Hip impingement syndromes are one of the most prevalent causes of persistent groin pain, especially in young and active patients. Diligent imaging of the hip region is indispensable to discern femoroacetabular impingement, as the differential diagnosis of hip pain can be exceedingly arduous. Despite hip radiography being plain and broadly attainable, it offers narrow information concerning soft tissue pathologies around the hip joint (extra-articular hip impingement syndromes). Magnetic resonance imaging and arthrography remain the gold standard examination for detecting intra-articular pathologies; however, they are widely considered expensive, time-consuming and characterized by confined. Consequently, ultrasonography has emerged as an alternative valuable diagnostic tool for distinguishing the underlying abnormalities that trigger femoroacetabular impingement. Proper hip ultrasound examination provides dynamic assessment, while also beneficial for guided intervention around the hip joint. Ultrasound hip examination is exacting due to its complex regional anatomy and deep location. It is capable of providing detailed information about various hip quadrants. An adept operator can identify both intra-articular and extra-articular pathologies. In addition, with ultrasonography, hip injections have been rendered relatively undemanding, aiding in therapeutic and diagnostic purposes. This paper aims to provide a succinct and compendious review of the existing literature, accentuating the crucial role of ultrasonography in diagnosing hip impingement syndromes and determining whether an additional examination is required regarding distinguishing between intra-articular and extra-articular syndromes.https://www.mdpi.com/2075-4418/13/15/2609hipfemoroacetabular impingementultrasoundultrasonographygroin painacetabulum
spellingShingle Panagiotis Karampinas
Athanasios Galanis
John Vlamis
Michail Vavourakis
Eftychios Papagrigorakis
Evangelos Sakellariou
Dimitrios Zachariou
Spyridon Karampitianis
Elias Vasiliadis
Spiros Pneumaticos
The Role of Ultrasonography in Hip Impingement Syndromes: A Narrative Review
Diagnostics
hip
femoroacetabular impingement
ultrasound
ultrasonography
groin pain
acetabulum
title The Role of Ultrasonography in Hip Impingement Syndromes: A Narrative Review
title_full The Role of Ultrasonography in Hip Impingement Syndromes: A Narrative Review
title_fullStr The Role of Ultrasonography in Hip Impingement Syndromes: A Narrative Review
title_full_unstemmed The Role of Ultrasonography in Hip Impingement Syndromes: A Narrative Review
title_short The Role of Ultrasonography in Hip Impingement Syndromes: A Narrative Review
title_sort role of ultrasonography in hip impingement syndromes a narrative review
topic hip
femoroacetabular impingement
ultrasound
ultrasonography
groin pain
acetabulum
url https://www.mdpi.com/2075-4418/13/15/2609
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