title: Ultrasound imaging for the rheumatologist. XLII. Assessment of hip pain in rheumatic patients: the radiologist's view.
abstract: Hip pain is a common complaint in daily practice and the identification of the underlying pathologic condition is the first step for an adequate treatment. In this review, we discuss the available evidence for the application of conventional radiography, computed tomography and magnetic resonance imaging in rheumatologic patients with painful hip, presenting the main imaging findings due to osteoarthritis, inflammatory arthritis (rheumatoid arthritis and spondyloarthritides), osteonecrosis and some other soft tissue involvement (bursitis and synovial cyst) that could be the cause of hip pain. Because different imaging techniques show different sensitivity and specificity, the choice of technique to use depends on the type and stage of the disease itself.
authors.affiliation: Diagnostic and Interventional Radiology, University of Pisa, Pisa, Italy. saverio.vitali@alice.it
authors.forename: Saverio
authors.initials: S
authors.lastname: Vitali
authors.forename: Andrea
authors.initials: A
authors.lastname: Delle Sedie
authors.forename: Emilio
authors.initials: E
authors.lastname: Filippucci
authors.forename: Lucrezia
authors.initials: L
authors.lastname: Riente
authors.forename: Annamaria
authors.initials: A
authors.lastname: Iagnocco
authors.forename: Garifallia
authors.initials: G
authors.lastname: Sakellariou
authors.forename: Gary
authors.initials: G
authors.lastname: Meenagh
authors.forename: Alessandro
authors.initials: A
authors.lastname: Paolicchi
authors.forename: Carlomaurizio
authors.initials: C
authors.lastname: Montecucco
authors.forename: Guido
authors.initials: G
authors.lastname: Valesini
authors.forename: Walter
authors.initials: W
authors.lastname: Grassi
authors.forename: Stefano
authors.initials: S
authors.lastname: Bombardieri
authors.forename: Davide
authors.initials: D
authors.lastname: Caramella
mesh_terms: D018771:Arthralgia / Q000175:diagnosis / Q000209:etiology*; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000000981:diagnostic imaging; D006621:Hip Joint / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D015207:Osteoarthritis, Hip / Q000150:complications / Q000000981:diagnostic imaging; D010020:Osteonecrosis / Q000150:complications / Q000000981:diagnostic imaging; D010147:Pain Measurement; D011237:Predictive Value of Tests; D012216:Rheumatic Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D025242:Spondylarthropathies / Q000150:complications / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography