HIP PAIN WITH NORMAL XRAY SERIES

While hip joint damage was commonly evaluated in conditions such as developmental dysplasia of the hip or osteoarthritis, an additional condition for early onset hip osteoarthritis has been discovered since: femoroacetabular impingement (FAI). If your X-ray doesnt show a fracture but you still have hip pain, your provider might order an MRI or bone scan to look for a hairline fracture. Physical findings associated with OA included posterior hip pain caused by squatting (LR+ = 6.1 1.3 to 29), groin pain on hip abduction or adduction (LR+ = 5.7 1.6 to 20), abductor weakness (LR+ = 4.5 2.4 to 8.4), decreased hip adduction (LR+ = 4.2 3.0 to 6.0), and decreased internal rotation (LR+ = 3.2 1.7 to 6.0). In the last two decades, hip imaging has changed substantially. Pain that is much more intense in the morning and subsides till the evening. Pain that worsens with strenuous activity. Some of these symptoms are as follows, Walking with a limp. Findings associated with the absence of OA included being younger than 60 (negative likelihood ratio = 0.11 0.01 to 0.78), morning stiffness lasting less than 60 minutes (LR− range, 0.22 to 0.65), the absence of pain on walking (LR− range, 0.25 to 0.58), and the absence of pain improved by sitting (LR− = 0.24 0.06 to 0.92). Even though there are five different types of arthritis they all have the same symptoms and may have similar characteristics on hip x-ray. Hip radiographs are performed for a variety of indications including 1-3: trauma hip pain abnormal gait inability to weight bear arthropathy knee. Healthcare providers can use hip X-rays to find the possible cause of limping or any pain, swelling or tenderness in your hips.

HIP PAIN WITH NORMAL XRAY SERIES

The series is requested for a myriad of reasons from trauma to atraumatic hip pain. Clinical findings associated with the presence of hip OA included a family history of OA (positive likelihood ratio = 2.1 1.2 to 3.6), a personal history of knee OA (LR+ = 2.1 1.1 to 3.8), pain when climbing stairs or walking down slopes (LR+ = 2.1 1.6 to 2.8), and the worst pain located in the medial thigh (LR+ = 7.8 1.7 to 37). The hip series is comprised of an anteroposterior (AP) and lateral radiograph of the hip joint.

Hip pain with normal xray