zulooplant.blogg.se - Normal hip xray

This editorial review is going to focus mainly on intra-articular causes of hip pain. Intra-articular causes include the following: labral tears, chondromalacia, degenerative changes, intra-articular bone injury, ligamentum teres rupture, arthritis (inflammatory, infectious, etc.), and synovial proliferative disorders.Įxtra-articular causes include the following: tendinopathy, bursitis, iliotibial band syndrome, muscle injury, and piriformis syndrome. Causes of Hip PainĬauses of pain around the hip joint may be intra-articular, extra-articular, or referred pain from neighboring structures, such as sacroiliac joint, spine, symphysis pubis, or the inguinal canal. Radiologists, as part of the diagnostic team, have to know the appropriate use of different imaging techniques in order to reach an accurate diagnosis without delaying patient management. In the last years, advancements in knowledge of biomechanics and hip joint functional anatomy, as well as improvements in arthroscopy procedures and refinements of imaging techniques, have widened the spectrum of diagnoses causing pain around the hip joint. In this case plain radiography allows categorization of the hip as normal or dysplastic or with impingement signs, pincer, cam, or a combination of both. Stress is put on the findings of radiographs, currently considered the first imaging technique, not only in older people with degenerative disease but also in young people without osteoarthritis. In this review, we discuss the causes of intra-articular hip pain from childhood to adulthood and the role of the appropriate imaging techniques according to clinical suspicion and age of the patient. Skeletal Radiol 1997 26:75-81.Hip pain can have multiple causes, including intra-articular, juxta-articular, and referred pain, mainly from spine or sacroiliac joints. Radiographic measurement of dysplastic adult hip.

5 Delauney S, Dussault R, Kaplan P, Alford B.

Avascular necrosis versus other diseases of the hip: sensitivity of MR imaging.

4 Glickstein MF, Burk DL, Scheibler ML, et al.

Resolution of abnormal MR signal intensity in patients with stress fractures of the femoral neck.

3 Slocum KA, Gorman JD, Puckett ML, Jones SB.

Magnetic resonance imaging: a cost-effective alternative to bone scintigraphy in the evaluation of patients with suspected hip fracture.

2 Rubin SJ, Marquardt JD, Gottlieb RH, Meyers SP, Totterman SM, O'Mara RE.

Diagnosis of bone and joint disorders 2nd ed.

Knowledge of common causes of chronic hip pain will allow the radiologist to seek out these radiographic findings. A disturbance of the trabecular pattern might suggest an early permeative pattern due to a tumor. Rheumatoid arthritis may manifest as classic osteopenia, uniform cartilage loss, and erosive change. Osteoarthritis can manifest as early cyst formation, small osteophytes, or buttressing of the femoral neck or calcar. Subtle osteophytes or erosive change is indicative of arthropathy. The earliest finding of avascular necrosis is relative sclerosis in the femoral head. Transient osteoporosis manifests as osteoporosis and effusion. Effusion, cartilage loss, and cortical bone destruction are diagnostic of a septic hip. Apophyseal avulsion fractures appear as a thin, crescentic, ossific opacity when viewed in tangent and as a subtle, disk-shaped opacity when viewed en face. Subtle femoral neck angulation, trabecular angulation, or a subcapital impaction line indicates an insufficiency fracture. Stress fractures appear as a lucent line surrounded by sclerosis or as subtle lucency or sclerosis. Yet, there are often subtle radiographic signs that point to traumatic, infectious, arthritic, neoplastic, congenital, or other causes. Adult chronic hip pain can be difficult to attribute to a specific cause, both clinically and radiographically.