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Hip arthrography, aspiration, block, and bursography
P Aliabadi1, N D Baker, D Jaramillo
1Department of Radiology, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Radiologic Clinics of North America
|July 23, 1998
Summary
Hip arthrography aids treatment for Legg-Calvé-Perthes disease and hip dysplasia. It also diagnoses adult hip issues, septic arthritis, and differentiates hip pain from spinal causes.
Area of Science:
- Orthopedic surgery
- Diagnostic imaging
- Pediatric orthopedics
Background:
- Hip arthrography is a key diagnostic tool.
- It aids in managing various hip conditions in children and adults.
Purpose of the Study:
- To determine optimal femoral head positioning for healing in Legg-Calvé-Perthes disease.
- To guide operative treatment in developmental dysplasia of the hip.
- To evaluate prosthetic loosening, infection, septic arthritis, and hip pain differentiation.
Main Methods:
- Hip arthrography for positioning and diagnosis.
- Aspiration and fluid culture for septic arthritis.
- Anesthetic hip arthrography for pain localization.
- Iliopsoas bursography for bursal assessment.
Main Results:
- Optimal femoral head position identified for immobilization.
- Arthrography demonstrates prosthetic loosening and infection.
- Aspiration and culture confirm septic arthritis.
- Anesthetic arthrography distinguishes hip from radicular pain.
- Bursography diagnoses iliopsoas bursal enlargement.
Conclusions:
- Hip arthrography is versatile in pediatric and adult hip conditions.
- It is crucial for treatment planning and diagnosis of hip joint pathology.
- Anesthetic arthrography and bursography offer specific diagnostic capabilities.