Document Detail

From the RSNA Refresher Courses. Radiological Society of North America. Adult chronic hip pain: radiographic evaluation.
MedLine Citation:
PMID:  11046159     Owner:  NLM     Status:  MEDLINE    
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.
B J Manaster
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  20 Spec No     ISSN:  0271-5333     ISO Abbreviation:  Radiographics     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-11-09     Completed Date:  2000-11-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  S3-S25     Citation Subset:  IM    
Department of Radiology, University of Colorado Health Sciences Center, 4200 E Ninth Ave, Box A030, Denver, CO 80262, USA.
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MeSH Terms
Arthralgia / microbiology,  radiography*
Arthritis / radiography
Arthritis, Rheumatoid / radiography
Bone Diseases, Metabolic / radiography
Cartilage, Articular / radiography
Chronic Disease
Femoral Neck Fractures / radiography
Femur Head Necrosis / radiography
Femur Neck / radiography
Fractures, Stress / radiography
Hip Injuries
Hip Joint / microbiology,  radiography*
Joint Diseases / congenital,  microbiology,  radiography
Middle Aged
Neoplasms / radiography
Osteoarthritis, Hip / radiography
Osteolysis / microbiology,  radiography
Osteoporosis / radiography
Synovial Fluid / radiography

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