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Additional resources for Clinics in Sports Medicine Vol 25 Issue 02 2006 Hip Injuries
Clinical evaluation of the hip: radiologic evaluation. 7 cm female) . Others consider the radiograph well centered when the coccyx is about 1 cm from the pubic symphysis . Reclination of the pelvis can underestimate the appearance of retroversion (crossover sign), and inclination can overestimate the finding. One must also account for rotation of the film as well (ie, rotation of the pelvis to the right increases appearance of retroversion on right and decreases on left). Normal Variants or Pathologic Process?
Department of Radiology, University of Pittsburgh Medical Center, 200 Lothrop Street, Pittsburgh, PA 15213. R. Armfield). 009 © 2006 Elsevier Inc. All rights reserved. com 212 ARMFIELD, TOWERS, ROBERTSON RADIOLOGIC EVALUATION AND MODALITY OVERVIEW Radiography Plain film radiography remains the primary screening tool because it is widely available, simple, and relatively inexpensive; but it must be done properly. In the past, a typical screening radiographic series for hip pain often included a nonweight-bearing anteroposterior (AP) and frogleg lateral view of the affected hip with or without a supine AP view of the pelvis.
In general, with CT, radiation doses to the pelvic organs may be substantial, a concern primarily in the pediatric population. The technique should minimize radiation dose, whenever possible . Recently, multidetector/ multislice CT arthrography of the hip was found useful for evaluating the degree of chondrosis in dysplastic hips. There may be a role for CT arthrography in the future (Fig. 4). Nuclear medicine bone scintigraphy often provides sensitive but nonspecific information with poor spatial resolution, and is not routinely used at our institution for hip pain in the athlete.