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Titolo:
From the RSNA refresher courses - Adult chronic hip pain: Radiographic evaluation
Autore:
Manaster, BJ;
Indirizzi:
Univ Colorado, Hlth Sci Ctr, Dept Radiol, Denver, CO 80262 USA Univ Colorado Denver CO USA 80262 Ctr, Dept Radiol, Denver, CO 80262 USA
Titolo Testata:
RADIOGRAPHICS
, volume: 20, anno: 2000,
pagine: S3 - S25
SICI:
0271-5333(200010)20:<S3:FTRRC->2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
FRACTURES;
Keywords:
hip, anatomy; hip, arthritis; hip, dysplasia; hip, infection; hip, injuries; hip, necrosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
5
Recensione:
Indirizzi per estratti:
Indirizzo: Manaster, BJ Univ Colorado, Hlth Sci Ctr, Dept Radiol, 4200 E 9th Ave,Box A030, Denver,CO 80262 USA Univ Colorado 4200 E 9th Ave,Box A030 Denver CO USA 80262 USA
Citazione:
B.J. Manaster, "From the RSNA refresher courses - Adult chronic hip pain: Radiographic evaluation", RADIOGRAPHI, 20, 2000, pp. S3-S25

Abstract

Adult chronic hip pain can be difficult to attribute to a specific cause, both clinically and radiographically. Yet, there are often subtle radiographic signs that point to traumatic, infectious, arthritic, neoplastic, congenital, or other causes. Stress fractures appear as a lucent line surroundedby sclerosis or as subtle lucency or sclerosis. Subtle femoral neck angulation, trabecular angulation, or a subcapital impaction line indicates an insufficiency fracture. Apophyseal avulsion fractures appear as a thin, crescentic, ossific opacity when viewed in tangent and as a subtle, disk-shaped opacity when viewed en face. Effusion, cartilage loss, and cortical bone destruction are diagnostic of a septic hip. Transient osteoporosis manifests as osteoporosis and effusion. The, earliest finding of avascular necrosis is relative sclerosis in the femoral head. Subtle osteophytes or erosive change is indicative of arthropathy. Osteoarthritis can manifest as early cystformation, small osteophytes, or buttressing of the femoral neck or calcar. Rheumatoid arthritis may manifest as classic osteopenia, uniform cartilage loss, and erosive change. A disturbance of the trabecular pattern might suggest an early permeative pattern due to a tumor. Knowledge of common causes of chronic hip pain will allow the radiologist to seek out these radiographic findings.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/12/20 alle ore 15:23:27