AI Article Synopsis
- The study aimed to assess the connection between hip radiographic measurements and ultrasound findings of gluteal tendinopathy and bursitis in patients experiencing lateral hip pain.
- Over a 5-year period, researchers analyzed 273 patients, noting that a significant portion had undergone total hip arthroplasty (THA) while comparing various hip measurements across symptomatic and asymptomatic hips.
- No significant correlation was found between the radiographic metrics and ultrasound results, but the study provides a valuable reference for normal hip measurements that can assist in evaluating lateral hip pain.
Article Abstract
Aim: To evaluate the relationship between radiographic measurements of the hip and sonographic evidence of gluteal tendinopathy and bursitis in patients with lateral hip pain.
Methods And Materials: Patients with lateral hip pain referred for ultrasound of the hip in our institution over a 5-year period were identified. Findings of gluteal tendinopathy and subgluteal or trochanteric bursitis on ultrasound were recorded. Radiographs of the hip were also evaluated and femoral offset (FO), global offset (GO), abductor lever arm (ALA) and trochanteric impingement distance (TID) were recorded. The mean of each measurement was compared between patients with gluteal tendinopathy and subgluteal or trochanteric bursitis.
Results: 273 patients were included in the study. 107 patients (39.2%) had a THA. In the asymptomatic hip, a range of normal measurements were obtained: FO 22.4-76.5 mm, GO 40.1-116.1 mm, ALA 45.0-98.4 mm and TID 13.8-63.1 mm. In the native hip and post THA, there was no statistically significant relationship between FO, GO, ALA and TID in patients with gluteal tendinopathy or trochanteric or subgluteal bursitis.
Conclusions: Lateral hip pain is a common presenting complaint in patients with hip pain and is reported in a small proportion of patients post THA. No statistically significant relationship was found between radiographic measurements and ultrasound findings in our patient cohort. However, we describe the range of measurements obtained from the normal asymptomatic hip in this large cohort of patients, which may aid in the evaluation and management of patients with lateral hip pain.
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| http://dx.doi.org/10.1177/1120700019878417 | DOI Listing |
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