The Hip Ultrasound Scan
Hip and groin pain is very common and ultrasound has been proven to be a useful tool in the assessment of the hip tendons, ligaments, muscles, nerves, synovial recesses, articular cartilage, bone surfaces and joint capsule. The goal of ultrasound scan is to detect and localize pathological processes, to differentiate between intra articular and extra articular pathology.
Many hip diseases are detectable with ultrasound including assessment of the soft tissues, tendons, ligaments and muscles, and also of the bone structures and joint spaces. In patients with sports-related hip pain, ultrasound has an important role in dynamic assessment of snapping iliopsoas tendon, joint fluid, bursitis, haematoma and paralabral cyst formation.
Potential causes of hip discomfort and fever include psoas abscess, prostatitis, pelvic inflammatory disease and urinary tract infections. Ultrasoundhas the ability to help diagnose these conditions, allowing appropriate and timely initiation of treatment.
What is the purpose of this scan?
The purpose of the hip ultrasound scan is to provide an assessment of the hip musculoskeletal structures.
- Bone structures (femoral head and acetabulum)
- Fibrocartilaginous structures (acetabular labrum)
- Cartilage layers covering the hip joint
- Capsular-ligamentous structures
- Synovial joint
- Muscles and tendons
- Synovial bursae
- Neurovascular structures
Reasons for having a hip scan include:
- Muscular and some ligaments damage (chronic and acute)
- Joint effusion
- Vascular pathology
- Soft tissue masses such as ganglia, lipomas
- Classification of a mass eg solid, cystic, mixed
- Post surgical complications eg abscess, edema
- Some bony pathology.
What is included with this scan?
- Ultrasound report and if needed, a follow up recommendation.
No preparation is necessary for this scan.
What should I expect during the ultrasound scan?
Before the scan our sonographer will explain the examination procedure. You will be asked to lie on the bed and expose your groin and hip. A small amount of gel will be placed on your hip and the probe will be moved in different directions. You may also be asked to move your hip during the scanning so that the sonographer can look at the affected area while it is in motion.
During and after the examination our sonographer will explain the findings and an ultrasound report will be issued to take away with you.
About the Musculoskeletal (MSK) Ultrasound Scan
Pain and reduced movement are common problems ascociated with all our joints. Ultrasound is regularly employed to examine the musculo-skeletal system (MSK) as it provide much needed information about the muscles, tendons, ligaments, joints and soft tissue in the body.
An ultrasound scan will help in diagnosis of tendon tears, such as tears of the rotator cuff in the shoulder or Achilles tendon in the ankle, abnormalities of the muscles, such as tears and soft-tissue masses, bleeding or other fluid collections within the muscles or damage to the major joints for common problems such as arthritis, tendinitis, bursitis, fluid in the joints, carpal tunnel syndrome etc..