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[Hip anatomy and imagery]
Nabil Jomaah1, Jean-Denis Laredo
1Service de radiologie Hôpital Saint-Antoine 75571 Paris. njom@noos.fr
La Revue Du Praticien
|May 11, 2002
Summary
Plain radiographs remain crucial for diagnosing non-traumatic painful hips. Advanced imaging like CT arthrograms and MRI assist in specific conditions, guiding appropriate radiological exam selection.
Area of Science:
- Radiology
- Orthopedics
- Rheumatology
Background:
- Plain radiographs are fundamental for evaluating non-traumatic painful hip conditions.
- Despite advanced imaging, radiography remains a primary diagnostic tool.
Purpose of the Study:
- To outline the role of various imaging modalities in diagnosing painful hip conditions.
- To guide the selection of appropriate radiological examinations based on clinical presentation.
Main Methods:
- Standard radiographic views include standing anteroposterior pelvis and bilateral hip views.
- Lequesne lateral views are recommended for bilateral hip assessment.
- Computed tomography (CT) arthrograms and magnetic resonance imaging (MRI) are utilized for specific indications.
Main Results:
- Radiographs are the initial imaging choice for painful hips.
- CT arthrograms are beneficial for early-stage osteoarthritis.
- MRI is indicated for synovitis and epiphyseal disorders like osteonecrosis and subchondral fractures.
Conclusions:
- Physicians must understand the capabilities of each imaging technique.
- Appropriate selection of radiological exams is essential for accurate hip pain diagnosis.