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Practical office ultrasound for the hip surgeon: current concepts
  1. Ehud Rath1,
  2. Zachary T Sharfman2,
  3. Eyal Amar1
  1. 1 Minimally Invasive Orthopedic Surgery Unit, Tel Aviv Sourasky Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel
  2. 2 Orthopedics, Montefiore Hospital and Medical Center, Bronx, New York, USA
  1. Correspondence to Dr Eyal Amar, Minimally Invasive Orthopedic Surgery Unit, Tel Aviv Sourasky Medical Center Orthopedics Division, 6423906, Tel-Aviv, Tel-Aviv, Israel; eyalamar73{at}gmail.com

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.

  • hip
  • ultrasound
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Footnotes

  • Contributors ER: Substantial contributions to the conception or design of the work; drafting the work and revising it critically for important intellectual content; final approval of the version to be published. ZTS: Substantial contributions to the conception or design of the work; drafting the work and revising it critically for important intellectual content; final approval of the version to be published. EA: Substantial contributions to the conception or design of the work; drafting the work and revising it critically for important intellectual content; final approval of the version to be published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Commissioned; externally peer reviewed.

  • Data availability statement There are no data in this work.

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