Ultrasound of the hip (adult)

Changed by Vincent Tatco, 7 Jan 2017

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 labrum labrum, iliopsoas tendon and bursa, femoral vessels, sartorius and rectus femoris muscles
  • dynamic evaluation of snapping hip syndrome

Posterior approach

Patient positioning
  • prone
Planes

Lateral approach

Patient positioning
  • lateral decubitus
Planes

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>

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