ULTRASOUND SCANNING OF HIP

When investigating hip pain, at Hypro Diagnostics, we prioritize a symptomatic approach, particularly crucial for infants who may struggle to articulate specific pain locations, making them unreliable historians. Observable signs such as reluctance to bear weight, walking with a limp, and restricted joint movement guide our diagnostic process. A common cause we consider is transient synovitis, often associated with viral infections, allergic reactions, or trauma, though its exact cause remains elusive. Our comprehensive approach also encompasses considerations such as haemarthrosis, septic arthritis, Perthes disease, slipped capital femoral epiphysis, and juvenile rheumatoid arthritis. Conducting ultrasound scans with an anterior approach, complemented by comparison views, enhances the precision of evaluating the synovial capsule. It is crucial to note that hip symptoms may not solely stem from joint-related issues; underlying muscle pathologies like myositis, bleeding, abscess, tumor, or avulsion can mimic hip joint diseases. Moreover, in the absence of primary hip or muscle issues, our examination extends to explore secondary effects on muscles due to diseases like appendicitis, pelvic pathology, pyelonephritis, discitis, osteomyelitis, lymphadenopathy, or tumors. In the toddler age group, we additionally consider lower limb fractures and neuroblastoma with secondary hip joint involvement. In summary, our symptomatic approach during hip ultrasound ensures a thorough diagnostic process and appropriate treatment, recognizing that hip symptoms can have diverse origins beyond the joint itself.