Practical office ultrasound for the hip surgeon: current concepts

Abstract

Ultrasound imaging allows for real-time dynamic visualisation of muscles, tendons, fascial planes and joints. This modality enhances the sensitivity of physical examination for the localisation of pathology and improves clinical diagnostic accuracy. Ultrasound improves the accuracy of targeted injections without the need for fluoroscopy. This modality is economically affordable, portable, and does not expose the patient or provider to radiation. A thorough understanding of the anatomy and biomechanics of the hip and a working knowledge of both intra-articular and extra-articular hip pathologies is essential to optimising the utility of this modality. Ultrasound-guided injections allow for real-time visualisation of both the needle and soft tissue or intra-articular target and are superior to unguided hip injections. Improved patient care can be achieved through the skilled use of ultrasound by a hip surgeon, radiologist or ultrasound technician with appropriate training.