The hip evaluation scheme is based on a series of specific tests,
which must be performed on the basis of the anamnesis,
for a complete evaluation of its functionality,
the integrity of the tendons,
nerve structuresand of the remaining soft tissues.
The present work aims to provide the Radiologist with the essential tools for a quick and accurate clinical diagnosis,
to be associated with dynamic ultrasound imaging.
Hip is a complex system,
and the understanding of its biomechanics and its pathological changes is fundamental for a correct interpretation of ultrasound imaging.
Findings and procedure details
The clinical "flowchart" consists of a series of tests for the evaluation of: coxo-femoral joint motility,
integrity of tendon (degenerative tendinopathies,
traumatic injuries) and muscles fibers (traumatic and non-traumatic lesions),
nerve structures integrity,
and the presence of bursitis (iliopsoas and trochanteric bursitis).
COXO-FEMURAL JOINT MOTILITY
Range of motion (ROM)
The hip is evaluated firstly in a 90° flexed position,
followed by internal rotation,
external rotation and extension manouvers (Fig.1-4).
Femoro-acetabular impingement (FAI)
FAI is defined as the outcome of a series...
The integrated clinical-instrumental approach is a valuable tool in the hands of the Radiologist and allows him to interact with other Specialists in a more appropriate way.
Ospedale Santa Corona (Pietra Ligure,
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Practical musculoskeletal ultrasound - 2nd edition.
O’Neill J (2008),
Musculoskeletal ultrasound: anatomy and technique.
Bianchi S (2007),
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Insights Imaging 2010;1(3):99–141.
Michael P Reiman,Richard C Mather III,Chad E Cook,
Physical examination tests...