Ultrasound of the hip in rheumatology
Recent advances in musculoskeletal (MSK) ultrasound and transducer technology have enabled increased utilization of high-quality ultrasound in rheumatology clinics and by the bedside as an adjuvant to the clinical examination of the hip. Ultrasound is also an integral part of image-guided joint aspi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Indian Journal of Rheumatology |
| Subjects: | |
| Online Access: | http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2018;volume=13;issue=5;spage=29;epage=35;aulast=Gandikota |
| _version_ | 1811213300492402688 |
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| author | Girish Gandikota Moe Tun |
| author_facet | Girish Gandikota Moe Tun |
| author_sort | Girish Gandikota |
| collection | DOAJ |
| description | Recent advances in musculoskeletal (MSK) ultrasound and transducer technology have enabled increased utilization of high-quality ultrasound in rheumatology clinics and by the bedside as an adjuvant to the clinical examination of the hip. Ultrasound is also an integral part of image-guided joint aspirations, injections, biopsies, and bursa injections. In this article, we will focus on basic ultrasound scanning technique and findings related to common rheumatologic pathologies of the adult symptomatic hip. Transducer positioning and essential sonographic bony landmarks will be reviewed and scanning in two orthogonal planes (both long and short axes of the structure) will be emphasized. Common hip pathologies such as synovitis, joint effusion, bursitis, greater trochanter pain syndrome, and hamstring pathology will be discussed. The reader will also be made aware of limitations of ultrasound in the evaluation of hip and emphasize the complementary role of ultrasound with other imaging modalities (radiographs, computed tomography, and magnetic resonance imaging). The diagnostic ability of MSK ultrasound is based on an operator's training and experience, the patient's habitus, and aptly chosen clinical indications. A good grasp of anatomy, sound ultrasound technique, and knowledge of limitations of ultrasound modality are essential for a safe ultrasound practice. A long-standing commitment of time and resources is needed to become competent and comfortable in scanning. Where possible, the training should be inbuilt into the postgraduate training. It is best that a rheumatologist adopts a career plan of learning, inclusive of MSK ultrasound, relevant to rheumatology. |
| first_indexed | 2024-04-12T05:43:25Z |
| format | Article |
| id | doaj.art-9efd107281fa4081b657b84c0b605866 |
| institution | Directory Open Access Journal |
| issn | 0973-3698 0973-3701 |
| language | English |
| last_indexed | 2024-04-12T05:43:25Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Rheumatology |
| spelling | doaj.art-9efd107281fa4081b657b84c0b6058662022-12-22T03:45:32ZengWolters Kluwer Medknow PublicationsIndian Journal of Rheumatology0973-36980973-37012018-01-01135293510.4103/0973-3698.238199Ultrasound of the hip in rheumatologyGirish GandikotaMoe TunRecent advances in musculoskeletal (MSK) ultrasound and transducer technology have enabled increased utilization of high-quality ultrasound in rheumatology clinics and by the bedside as an adjuvant to the clinical examination of the hip. Ultrasound is also an integral part of image-guided joint aspirations, injections, biopsies, and bursa injections. In this article, we will focus on basic ultrasound scanning technique and findings related to common rheumatologic pathologies of the adult symptomatic hip. Transducer positioning and essential sonographic bony landmarks will be reviewed and scanning in two orthogonal planes (both long and short axes of the structure) will be emphasized. Common hip pathologies such as synovitis, joint effusion, bursitis, greater trochanter pain syndrome, and hamstring pathology will be discussed. The reader will also be made aware of limitations of ultrasound in the evaluation of hip and emphasize the complementary role of ultrasound with other imaging modalities (radiographs, computed tomography, and magnetic resonance imaging). The diagnostic ability of MSK ultrasound is based on an operator's training and experience, the patient's habitus, and aptly chosen clinical indications. A good grasp of anatomy, sound ultrasound technique, and knowledge of limitations of ultrasound modality are essential for a safe ultrasound practice. A long-standing commitment of time and resources is needed to become competent and comfortable in scanning. Where possible, the training should be inbuilt into the postgraduate training. It is best that a rheumatologist adopts a career plan of learning, inclusive of MSK ultrasound, relevant to rheumatology.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2018;volume=13;issue=5;spage=29;epage=35;aulast=GandikotaHipindicationsrheumatologytechniqueultrasound |
| spellingShingle | Girish Gandikota Moe Tun Ultrasound of the hip in rheumatology Indian Journal of Rheumatology Hip indications rheumatology technique ultrasound |
| title | Ultrasound of the hip in rheumatology |
| title_full | Ultrasound of the hip in rheumatology |
| title_fullStr | Ultrasound of the hip in rheumatology |
| title_full_unstemmed | Ultrasound of the hip in rheumatology |
| title_short | Ultrasound of the hip in rheumatology |
| title_sort | ultrasound of the hip in rheumatology |
| topic | Hip indications rheumatology technique ultrasound |
| url | http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2018;volume=13;issue=5;spage=29;epage=35;aulast=Gandikota |
| work_keys_str_mv | AT girishgandikota ultrasoundofthehipinrheumatology AT moetun ultrasoundofthehipinrheumatology |