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Ultrasound of the Hip

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

The adult hip poses several challenges to ultrasound evaluation. The structures are deeply situated requiring the use of relatively low-frequency transducers (5–10 MHz range), thereby limiting resolution. Variable amounts of abdominal fat often cause aberration of the ultrasound beam. Doppler assessment is also limited due to diminished flow sensitivity in evaluating deep structures. Despite these limitations, ultrasound can display a variety of pathologic conditions about the hip. The real-time capability allows assessment of conditions elicited by provocative maneuvers (i.e., snapping hip syndromes). Ultrasound provides guidance for performance of selective interventional procedures, and it is not subject to artifact introduced by indwelling metallic hardware. Ultrasound is, therefore, playing an increasingly important diagnostic and therapeutic role in patients with hip pain. Following a brief overview of ultrasound technique and normal sonographic anatomy, a variety of common clinical applications of ultrasound of the hip are discussed.

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Author information

Authors and Affiliations

  1. Langone Orthopedic Center, NYU Langone Medical Center, New York, NY, USA

    Ronald S. Adler

  2. Brigham and Women’s Hospital, Boston, MA, USA

    Luis Beltran

Authors
  1. Ronald S. Adler
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  2. Luis Beltran
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Corresponding author

Correspondence to Ronald S. Adler .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Division of Sports Medicine, Section of Young Adult Hip Surgery, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  2. Sports Medicine and Shoulder Service, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA

    Asheesh Bedi

  3. Department of Orthopaedic Surgery, Joint Preservation and Cartilage Restoration Center, University Hospitals Case Medical Center, Cleveland, OH, USA

    Michael J. Salata

  4. Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA

    Richard C. Mather III

  5. Department of Orthopaedic Surgery, Sports Medicine and Shoulder Service, Center for Hip Preservation Surgery Weill Medical College of Cornell University, Hospital for Special Surgery, New York, NY, USA

    Bryan T. Kelly

Section Editor information

  1. Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada

    Olufemi R. Ayeni

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Adler, R.S., Beltran, L. (2022). Ultrasound of the Hip. In: Nho, S.J., Bedi, A., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-43240-9_6

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  • DOI: https://doi.org/10.1007/978-3-030-43240-9_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-43239-3

  • Online ISBN: 978-3-030-43240-9

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