The aim of our educational exhibit is to describe a systematic technique for ultrasound (US) evaluation of the hip structures,
by illustrating their normal anatomy and US appearance.
We will provide anatomical didactic schemes,
showing correlations with sonographic images.
High resolution hip US,
commonly performed with high frequency (7-15 MHz) linear probes,
has become a first level examination to investigate multiple painful conditions that may affect the hip region,
which is a crossroad for muscular,
vascular and nervous structures between the trunk and the lower extremity.
Findings and procedure details
We coulddivide the hip into four quadrants and normally it's important to focus theUS examination above all to the quadrant affectedby the clinical symptomatology.
Here it is a list on what structures should be identified in each quadrant: • Anterior quadrant: sartorius,
tensor fasciae latae and rectus femoris muscles,
iliopsoas muscle and bursae,
femoral neurovascular bundle and anterior synovial recess; • Medial quadrant: adductors muscles and tendons; • Lateral quadrant: gluteal muscles...
US examination of the hip can provide excellent results,
but only if the US operator is thoroughly familiar with both the normal anatomy and the US anatomy and carries out the examination following an accurate and efficient technique.
Contact details: Dr.
Department of Advanced Biomedical Sciences,
University of Naples (Federico II),
Musculoskeletal Ultrasound Technical Guidelines - IV Hip,
European Society of MusculoSkeletal Radiology. E.
Silvestri et al.
Ultrasound Anatomy of Lower Limb Muscles: A Practical Guide,
Springer International Publishing Switzerland McNally EG (2014),
Practical musculoskeletal ultrasound - 2nd edition.
Philadelphia O’Neill J (2008),
Musculoskeletal ultrasound: anatomy and technique.
New York Martinoli C,
Bianchi S (2007),
Ultrasound of the musculo-skeletal system....