Ultrasound is as reliable as plain radiographs in the diagnosis of cam-type femoroacetabular impingement

Lerch, Solveig; Kasperczyk, A.; Berndt, Thomas; Rühmann, O.

doi:10.1007/s00402-016-2509-6

Cited by 20 publications

(14 citation statements)

References 24 publications

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“…This can be reliably achieved with ultrasound imaging with the hip in 20° internal rotation. This technique has been demonstrated to be as reliable as plain frog-view radiographs in determining the alpha angle and offset ratio for the diagnosis of CAM-type FAI 17…”

Section: Pathologiesmentioning

confidence: 99%

Practical office ultrasound for the hip surgeon: current concepts

2020

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Section: Pathologiesmentioning

confidence: 99%

Practical office ultrasound for the hip surgeon: current concepts

2020

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“…The diagnosis of FAI is based on clinical symptoms, physical examination, and initial conventional radiography. US has been evaluated for the diagnosis of cam deformity and in follow-up after surgical resection and has compared favorably to X-ray, MRI, and the gold standard MRA [112][113][114][115]. US evaluation of the morphologic appearance of the head-neck junction and measurement of the "α-angle" (along with other measurements) have been assessed and found to be comparable with other imaging techniques [114][115][116].…”

Section: Femoroacetabular Impingement (Fai)mentioning

confidence: 99%

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part II: Joint Pathologies, Pediatric Applications, and Guided Procedures

et al. 2021

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The second part of the Guidelines and Recommendations for Musculoskeletal Ultrasound (MSUS), produced under the auspices of EFSUMB, following the same methodology as for Part 1, provides information and recommendations on the use of this imaging modality for joint pathology, pediatric applications, and musculoskeletal ultrasound-guided procedures. Clinical application, practical points, limitations, and artifacts are described and discussed for every joint or procedure. The document is intended to guide clinical users in their daily practice.

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“…U ltrasound (US) has gained increased attention as an injection guidance and diagnostic tool for musculoskeletal pathologies. [1][2][3][4][5][6][7][8] In comparison to magnetic resonance imaging (MRI), computerized tomography (CT), and plain radiographs, US is clearly in its infancy with regard to widespread use and ability to interpret results. In addition, the literature is fairly limited in comparison to other imaging modalities for musculoskeletal pathology.…”

Section: See Related Article On Page 128mentioning

confidence: 99%

“…Ultrasound has been shown to be very efficacious for hip joint injections, and a handful of studies have supported its ability to diagnose labral tears and femoroacetabular impingement (FAI). [1][2][3][4][5][6][7][8] More importantly, US has the ability to provide a dynamic assessment of the hip to determine intra-articular or extra-articular impingement while assessing the patient's response to these maneuvers. 1 Currently, however, there are very limited data regarding dynamic US.…”

Section: See Related Article On Page 128mentioning

confidence: 99%

Editorial Commentary: Ultrasound-Guided Injection With Dynamic Assessment Could Improve Outcomes in Atypical and Revision Hip Arthroscopy Patients: But Today, Few Are Trained to Hear at Such High Frequencies

Larson¹

2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Imaging modalities for hip disorders all have their strengths and weaknesses. Magnetic resonance imaging is superior for evaluating soft tissue pathology, computerized tomography best characterizes osseous morphology, and plain radiographs can accurately depict 2-dimensional anatomy and are familiar to most clinicians. Ultrasound-guided injections have become commonplace in the musculoskeletal arena. Ultrasound evaluation of musculoskeletal anatomy has received increased attention, has the ability to image soft tissue and osseous structures, and more importantly, has the ability to dynamically evaluate these structures in real time. A noninvasive dynamic assessment of the hip region could be an absolute game changer for the hip preservation/sports medicine community in the diagnosis of atypical hip pain, femoroacetabular impingement, and labral tears. Widespread ability and expertise to perform these dynamic ultrasound assessments, however, is not in place at this time. We need more training and studies to best harness the potential benefits of these sound waves.

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Ultrasound is as reliable as plain radiographs in the diagnosis of cam-type femoroacetabular impingement

Cited by 20 publications

References 24 publications

Practical office ultrasound for the hip surgeon: current concepts

Practical office ultrasound for the hip surgeon: current concepts

The EFSUMB Guidelines and Recommendations for Musculoskeletal Ultrasound – Part II: Joint Pathologies, Pediatric Applications, and Guided Procedures

Editorial Commentary: Ultrasound-Guided Injection With Dynamic Assessment Could Improve Outcomes in Atypical and Revision Hip Arthroscopy Patients: But Today, Few Are Trained to Hear at Such High Frequencies

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