ultrasound of the hip (adult)

There are several approaches to ultrasound examination of the adult hip.

Anterior approach

Patient positioning

• supine with the hip in mild external rotation

Planes

• sagittal oblique plane parallel to the long axis of the femoral neck to assess femoral head and neck and for any joint effusion
• sagittal and axial planes to assess labrum, iliopsoas tendon and bursa, femoral vessels, sartorius and rectus femoris muscles
• dynamic evaluation of snapping hip syndrome

Posterior approach

Patient positioning

• prone

Planes

• axial and longitudinal to assess hamstrings and sciatic nerve
• oblique to assess gluteal muscles

Lateral approach

Patient positioning

• lateral decubitus

Planes

• axial and coronal (longitudinal) to assess greater trochanter, greater trochanteric bursa, gluteal muscles and tensor fascia lata
• dynamic evaluation of iliotibial band syndrome

Medial approach

Patient positioning

• 45-degree knee flexion, external rotation (frog-leg position)

Planes

• sagittal oblique and axial planes to assess the adductor muscles, pubic bone and insertion of rectus abdominis muscle

Practical points

Some studies suggest an effusion of up to 7 mm can be present as part of normal variation .

Siehe auch:

• Coxa saltans
• Ilio-tibiales Bandsyndrom
• ultrasound imaging of the hip

und weiter:

• ultrasound of the hip