Back to Search
Start Over
From the RSNA Refresher Courses. Radiological Society of North America. Adult chronic hip pain: radiographic evaluation.
- Source :
-
Radiographics : a review publication of the Radiological Society of North America, Inc [Radiographics] 2000 Oct; Vol. 20 Spec No, pp. S3-S25. - Publication Year :
- 2000
-
Abstract
- Adult chronic hip pain can be difficult to attribute to a specific cause, both clinically and radiographically. Yet, there are often subtle radiographic signs that point to traumatic, infectious, arthritic, neoplastic, congenital, or other causes. Stress fractures appear as a lucent line surrounded by sclerosis or as subtle lucency or sclerosis. Subtle femoral neck angulation, trabecular angulation, or a subcapital impaction line indicates an insufficiency fracture. 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. Effusion, cartilage loss, and cortical bone destruction are diagnostic of a septic hip. Transient osteoporosis manifests as osteoporosis and effusion. The earliest finding of avascular necrosis is relative sclerosis in the femoral head. Subtle osteophytes or erosive change is indicative of arthropathy. Osteoarthritis can manifest as early cyst formation, small osteophytes, or buttressing of the femoral neck or calcar. Rheumatoid arthritis may manifest as classic osteopenia, uniform cartilage loss, and erosive change. A disturbance of the trabecular pattern might suggest an early permeative pattern due to a tumor. Knowledge of common causes of chronic hip pain will allow the radiologist to seek out these radiographic findings.
- Subjects :
- Adolescent
Adult
Aged
Arthralgia microbiology
Arthritis diagnostic imaging
Arthritis, Rheumatoid diagnostic imaging
Bone Diseases, Metabolic diagnostic imaging
Cartilage, Articular diagnostic imaging
Chronic Disease
Female
Femoral Neck Fractures diagnostic imaging
Femur Head Necrosis diagnostic imaging
Femur Neck diagnostic imaging
Fractures, Stress diagnostic imaging
Hip Injuries
Hip Joint microbiology
Humans
Joint Diseases congenital
Joint Diseases diagnostic imaging
Joint Diseases microbiology
Male
Middle Aged
Neoplasms diagnostic imaging
Osteoarthritis, Hip diagnostic imaging
Osteolysis diagnostic imaging
Osteolysis microbiology
Osteoporosis diagnostic imaging
Radiography
Synovial Fluid diagnostic imaging
Arthralgia diagnostic imaging
Hip Joint diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 0271-5333
- Volume :
- 20 Spec No
- Database :
- MEDLINE
- Journal :
- Radiographics : a review publication of the Radiological Society of North America, Inc
- Publication Type :
- Academic Journal
- Accession number :
- 11046159
- Full Text :
- https://doi.org/10.1148/radiographics.20.suppl_1.g00oc06s3