Ultrasound of the hip (adult)
Updates to Synonym Attributes
Title
was changed:
Ultrasound of the adult hip - approach(approach)
Updates to Article Attributes
Body
was changed:
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
labrumlabrum, 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
gluteulgluteal muscles
Lateral approach
Patient positioning
- lateral decubitus
Planes
-
axial and coronal (longitudinal) to assessgreater trochanter, greater trochanteric bursa,
gluteulgluteal 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
-<strong>sagittal</strong> and <strong>axial planes </strong>to assess labrum, <a href="/articles/iliopsoas-muscle">iliopsoas</a> tendon and bursa, femoral vessels, <a href="/articles/sartorius-muscle">sartorius</a> and <a href="/articles/rectus-femoris-muscle">rectus femoris muscles</a>- +<strong>sagittal</strong> and <strong>axial planes </strong>to assess labrum, <a href="/articles/iliopsoas-muscle">iliopsoas</a> tendon and bursa, femoral vessels, <a href="/articles/sartorius-muscle">sartorius</a> and <a href="/articles/rectus-femoris-muscle">rectus femoris muscles</a>
-<strong>axial</strong> and <strong>longitudinal</strong> to assess <a href="/articles/hamstrings">hamstrings</a> and <a href="/articles/sciatic-nerve-1">sciatic nerve</a>- +<strong>axial</strong> and <strong>longitudinal</strong> to assess <a href="/articles/hamstring-muscles">hamstrings</a> and <a href="/articles/sciatic-nerve-1">sciatic nerve</a>
-<strong>oblique</strong> to assess gluteul muscles</li>- +<strong>oblique</strong> to assess gluteal muscles</li>
-<strong>axial</strong> and <strong>coronal</strong> (longitudinal) to assess <a href="/articles/greater-trochanter">greater trochanter</a>, greater trochanteric bursa, gluteul muscles and tensor fascia lata</li>- +<strong>axial</strong> and <strong>coronal</strong> (longitudinal) to assess <a href="/articles/greater-trochanter">greater trochanter</a>, greater trochanteric bursa, gluteal muscles and tensor fascia lata</li>