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Semin Musculoskelet Radiol 2019; 23(03): e1-e16
DOI: 10.1055/s-0039-1683966
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Hip Inflammatory Conditions: A Practical Differential Diagnosis Algorithmic Approach in Adults and Children

Jacob L. Jaremko
1   Department of Radiology and Diagnostic Imaging, Faculty of Medicine, University of Alberta, Edmonton, Canada
,
James Teh
2   Department of Radiology, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, United Kingdom
,
Claudia Weidekamm
3   Division of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna/Vienna General Hospital, Vienna, Austria
,
Lennart Jans
4   Department of Radiology and Medical Imaging, Ghent University Hospital, Gent, Belgium
,
Nele Herregods
4   Department of Radiology and Medical Imaging, Ghent University Hospital, Gent, Belgium
› Author Affiliations
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Publication History

Publication Date:
04 June 2019 (online)

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Abstract

The child or adult patient presenting with acute hip pain in the absence of major trauma often presents a difficult diagnostic dilemma, due to the complex anatomy and diversity of pathology at the hip. A correct diagnosis is important because untreated hip inflammatory disease can lead to lifelong morbidity from structural damage at this weightbearing joint. An effective and efficient process of reaching an appropriate diagnosis often requires multiple imaging modalities overseen by careful clinical judgment. This article reviews an algorithmic approach to imaging the acutely painful hip, with attention to uses and limitations of each imaging modality, and it offers details on the key differential diagnoses in adults and children.

Keywords

hip - inflammation - arthritis - pediatric - adult