High-resolution ultrasound in the evaluation of the adult hip

This paper reviews ultrasound of the hip, which is a commonly requested examination for symptomatic hip issues. This includes both intra-articular and extra-articular causes of hip pain. Ultrasound is easily accessible, lacks radiation exposure, and allows for evaluation of the contralateral hip as...

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Main Authors: Probyn Linda, Flores Dyan, Rowbotham Emma, Cresswell Mark, Atinga Angela
Format: Article
Language:English
Published: Sciendo 2023-11-01
Series:Journal of Ultrasonography
Subjects:
Online Access:https://doi.org/10.15557/jou.2023.0031
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author Probyn Linda
Flores Dyan
Rowbotham Emma
Cresswell Mark
Atinga Angela
author_facet Probyn Linda
Flores Dyan
Rowbotham Emma
Cresswell Mark
Atinga Angela
author_sort Probyn Linda
collection DOAJ
description This paper reviews ultrasound of the hip, which is a commonly requested examination for symptomatic hip issues. This includes both intra-articular and extra-articular causes of hip pain. Ultrasound is easily accessible, lacks radiation exposure, and allows for evaluation of the contralateral hip as well as assessment of dynamic maneuvers. Ultrasound can be used to guide interventional procedures. Ultrasound of the hip can be challenging due to the deep location of structures and complex anatomy. Typically, high-frequency transducers are used to examine the hip, however the choice of ultrasound transducer depends on the patient’s body habitus, with lower frequency transducers required to penetrate deep structures in obese patients. It is important to have an approach to ultrasound of the hip which includes assessment of the anterior, lateral, posterior, and medial aspects of the hip. The technique and relevant anatomy of each of these compartments are discussed as well as the use of Doppler examination of the hip. Several dynamic maneuvers can be performed to help determine the cause of hip pathology in various locations, and these are described and illustrated. Ultrasound is useful for guided procedures about the hip, and these indications will be reviewed.
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spelling doaj.art-d1071c04f50f4848875e5bfba1d6291a2023-12-01T07:19:20ZengSciendoJournal of Ultrasonography2451-070X2023-11-012395e223e23810.15557/jou.2023.0031High-resolution ultrasound in the evaluation of the adult hipProbyn Linda0Flores Dyan1Rowbotham Emma2Cresswell Mark3Atinga Angela41Department of Medical Imaging, University of Toronto, Toronto, Canada2Department of Medical Imaging, University of Ottawa, Ottawa, Canada3Department of Medical Imaging, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom4Department of Medical Imaging, University of British Columbia, Vancouver, Canada1Department of Medical Imaging, University of Toronto, Toronto, CanadaThis paper reviews ultrasound of the hip, which is a commonly requested examination for symptomatic hip issues. This includes both intra-articular and extra-articular causes of hip pain. Ultrasound is easily accessible, lacks radiation exposure, and allows for evaluation of the contralateral hip as well as assessment of dynamic maneuvers. Ultrasound can be used to guide interventional procedures. Ultrasound of the hip can be challenging due to the deep location of structures and complex anatomy. Typically, high-frequency transducers are used to examine the hip, however the choice of ultrasound transducer depends on the patient’s body habitus, with lower frequency transducers required to penetrate deep structures in obese patients. It is important to have an approach to ultrasound of the hip which includes assessment of the anterior, lateral, posterior, and medial aspects of the hip. The technique and relevant anatomy of each of these compartments are discussed as well as the use of Doppler examination of the hip. Several dynamic maneuvers can be performed to help determine the cause of hip pathology in various locations, and these are described and illustrated. Ultrasound is useful for guided procedures about the hip, and these indications will be reviewed.https://doi.org/10.15557/jou.2023.0031ultrasoundhip jointhip anatomydynamic ultrasoundhip pathology
spellingShingle Probyn Linda
Flores Dyan
Rowbotham Emma
Cresswell Mark
Atinga Angela
High-resolution ultrasound in the evaluation of the adult hip
Journal of Ultrasonography
ultrasound
hip joint
hip anatomy
dynamic ultrasound
hip pathology
title High-resolution ultrasound in the evaluation of the adult hip
title_full High-resolution ultrasound in the evaluation of the adult hip
title_fullStr High-resolution ultrasound in the evaluation of the adult hip
title_full_unstemmed High-resolution ultrasound in the evaluation of the adult hip
title_short High-resolution ultrasound in the evaluation of the adult hip
title_sort high resolution ultrasound in the evaluation of the adult hip
topic ultrasound
hip joint
hip anatomy
dynamic ultrasound
hip pathology
url https://doi.org/10.15557/jou.2023.0031
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