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Related Experiment Videos

Imaging of hip disorders.

A C Brower1, M J Kransdorf

  • 1Department of Radiology and Nuclear Medicine, F. Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland.

Radiologic Clinics of North America
|September 1, 1990
PubMed
Summary

Conventional radiography is the initial choice for hip disease evaluation, followed by bone scintigraphy if needed. Advanced imaging like CT and MR are reserved for specific conditions such as acetabular fractures and osteonecrosis, respectively.

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Area of Science:

  • Radiology
  • Orthopedics
  • Medical Imaging

Background:

  • Hip disease evaluation requires careful selection of imaging modalities.
  • Choosing the simplest, most cost-effective, and informative imaging is crucial for patient care.

Purpose of the Study:

  • To outline the appropriate use of various imaging modalities for hip disease.
  • To guide clinicians in selecting the optimal imaging strategy based on clinical needs.

Main Methods:

  • Review of conventional radiography, bone scintigraphy, computed tomography (CT), and magnetic resonance (MR) imaging.
  • Discussion of the diagnostic utility of each modality for specific hip pathologies.

Main Results:

  • Conventional radiography is effective for arthritis, fractures, infection, and tumors.

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  • Bone scintigraphy aids in confirming disease presence and location when radiography is inconclusive.
  • CT is primarily useful for acetabular fractures; MR excels in diagnosing osteonecrosis, marrow disease, cartilage, and soft-tissue abnormalities.

    • Conclusions:

    • Conventional radiography should be the first-line imaging for most hip diseases.
    • Bone scintigraphy serves as a valuable second-line investigation.
    • MR imaging is the preferred modality for complex conditions like osteonecrosis and detailed soft-tissue assessment.