X-Hip
The basic principles about the hip X-ray examination.
Table of contents
Checklist
The following points may be used as a guide to assess a hip X-ray.
General:
- Technique: has everything been imaged correctly; is it suitable for evaluation? Can the question be answered?
- Bone mineral density? Ossal lesions?
- Check the cortex; cortex interrupted? cortex destruction?
- Normal trabecular pattern on femoral head/neck?
- Abnormal iliopectineal line, ilioischial line, tear drop or Shenton line?
- Hip joint: position? osteoarthritis? Asymmetry when compared to the other hip?
- Abnormalities outside the hip joint?
- Changes versus previous examinations?
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Literature: sources and author
Text & illustrations
drs. A. van der Plas, MSK radiologist Maastricht UMC+
Sources:
- B.J. Manaster et al. The Requisites – Musculoskeletal Imaging. 2007
- N. Raby et al. Accident & Emergency Radiology – A Survival Guide. 2005.
- K.L. Bontrager, J.P. Lampignano. Textbook of Radiographic Positioning and Related Anatomy. 2014 (8th edition)
- Seung-Jae Lim, MD, Yoon-Soo Park, MD. Plain Radiography of the Hip: A Review of Radiographic Techniques and Image Features. Hip&Pelvis 2015.
- L. Cerezal et al. Anatomy, Biomechanics, Imaging and Management of Ligamentum Teres Injuries. Radiographics 2010
20/12/2017
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