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    The basic principles about the hip X-ray examination.

    Radiology Expert
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    The following points may be used as a guide to assess a hip X-ray. 

    1. Technique: has everything been imaged correctly; is it suitable for evaluation? Can the question be answered? 
    2. Bone mineral density? Ossal lesions?
    3. Check the cortex; cortex interrupted? cortex destruction? 
    4. Normal trabecular pattern on femoral head/neck?
    5. Abnormal iliopectineal line, ilioischial line, tear drop or Shenton line? 
    6. Hip joint: position? osteoarthritis? Asymmetry when compared to the other hip?
    7. Abnormalities outside the hip joint? 
    8. Changes versus previous examinations?


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    Literature: sources and author

    Text & illustrations

    drs. A. van der Plas, MSK radiologist Maastricht UMC+

    • B.J. Manaster et al. The Requisites – Musculoskeletal Imaging. 2007
    • N. Raby et al. Accident & Emergency Radiology – A Survival Guide. 2005.
    • K.L. Bontrager, J.P. Lampignano. Textbook of Radiographic Positioning and Related Anatomy. 2014 (8th edition)
    • Seung-Jae Lim, MD, Yoon-Soo Park, MD. Plain Radiography of the Hip: A Review of Radiographic Techniques and Image Features. Hip&Pelvis 2015.
    • L. Cerezal et al. Anatomy, Biomechanics, Imaging and Management of Ligamentum Teres Injuries. Radiographics 2010


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