How to Order and Interpret Radiology Studies
How to Order and Interpret Radiology Studies
How to Order and Interpret Radiology Studies
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Plain film X-raysX<br />
Hip Pain/Injury<br />
– Good initial study<br />
– Arthritis<br />
– Late avascular necrosis<br />
– Initial evaluation for<br />
femoral neck stress<br />
fracture<br />
– Can miss grade 4<br />
cartilage damage<br />
Hip Pain/Injury<br />
MRI<br />
– At least 1.5 T magnet<br />
– Surface coil<br />
– Poor for for IA cartilaginous injuries<br />
– Good for evaluation of femoral neck<br />
stress fractures<br />
MR Arthrogram<br />
– Labral pathology<br />
Increased sensitivity, but also<br />
increased false positive<br />
– Gad sequences can obscure bone<br />
– Diagnostic anesthetic injection<br />
Bone Scan<br />
– Good study for stress fractures<br />
Ultrasound<br />
Hip Pain/Injury<br />
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