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Sonography in the diagnosis of painful hips

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Summary

We report our use of linear sonography in evaluating painful and irritable hips. Images were correlated with the clinical course and outcome, and other methods of diagnostic imaging. Sonography demonstrated the anatomical structures of the hip, the joint space and capsule. A significant increase of joint space due to the progressive development of intra-articular fluid was found in patients with transient synovitis, septic arthritis and osteomyelitis of the femoral neck. Sonography and CT scanning appear to be the most reliable methods of making an early diagnosis of various hip disorders. Both allow serial examination for evaluating the patients' clinical progress. Sonography has the advantages of being noninvasive, cheap, easy to use, and devoid of irradiation or any other known complications.

Résumé

Nous rapportons notre expérience de l'échographie dans la diagnostic des hanches douloureuses ou irritables. Les images ont été confrontées aux données cliniques, à l'évolution et aux autres techniques d'imagerie. L'échographie montre les structures anatomiques de la hanche, l'interligne articulaire et la capsule. Un élargissement notable de l'interligne, dû à l'épanchement progressif de liquide intraarticulaire, a été mis en évidence chez les malades présentant une poussée de synovite, une arthrite septique ou une ostéomyélite du col du fémur. L'échographie et la tomo-densitométrie semblent être les procédés les plus sûrs pour faire le diagnostic précoce de diverses lésions de la hanche. Les deux peuvent être répétés afin de suivre la progression clinique de la maladie. L'échographie a l'avantage d'être non-invasive, peu coûteuse, facile à utiliser et dénuée de tout risque de complication, notamment par irradation.

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Authors and Affiliations

  1. Paediatric Orthopaedic Unit, Rambam Medical Centre and the Technion Faculty of Medicine, Haifa, Israel

    V. Bialik

  2. Department of Orthopaedic Surgery, Rambam Medical Centre and the Technion Faculty of Medicine, Haifa, Israel

    G. Volpin & H. Stein

  3. Department of Nuclear Medicine, Rambam Medical Centre and the Technion Faculty of Medicine, Haifa, Israel

    J. Jerushalmi

Authors
  1. V. Bialik
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  2. G. Volpin
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  3. J. Jerushalmi
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  4. H. Stein
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Bialik, V., Volpin, G., Jerushalmi, J. et al. Sonography in the diagnosis of painful hips. International Orthopaedics 15, 155–159 (1991). https://doi.org/10.1007/BF00179717

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  • DOI: https://doi.org/10.1007/BF00179717

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