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Skeletal Radiology
Published in: Skeletal Radiology 11/2023

Open Access 20-12-2022 | Osteoarthritis of the Hip | Review Article

Osteoarthritis of the hip: is radiography still needed?

Authors: Charbel Mourad, Bruno Vande Berg

Published in: Skeletal Radiology | Issue 11/2023

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Abstract

Diagnosis of hip osteoarthritis (OA) is based on clinical arguments, and medical imaging is obtained to confirm the diagnosis and rule out other possible sources of pain. Conventional radiographs are recommended as the first line imaging modality to investigate chronic hip pain. They should be obtained in a rigorous technique that includes an antero-posterior (AP) radiograph of the pelvis. The choice of the appropriate lateral view depends on the clinical indication, Lequesne’s false profile being valuable in the assessment of OA. Magnetic resonance imaging (MRI) is more sensitive to detect joint effusion/synovitis, cartilage, labral, and bone marrow lesions. However, structural joint changes are frequent in asymptomatic population and neither radiographs nor MRI have shown a good correlation with pain and functional impairment. MRI seems to be more suitable than radiographs as a biomarker for clinical trials addressing early OA. The absence of a validated MR biomarker of early OA, together with issues related to machine availability and MRI protocol repeatability, prevent the widespread use of MRI in clinical trials.
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Metadata
Title
Osteoarthritis of the hip: is radiography still needed?
Authors
Charbel Mourad
Bruno Vande Berg
Publication date
20-12-2022
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 11/2023
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-022-04270-8

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