Scope Essentials 2024-Diagnostic Workup for Hip Injuries

Diagnostic Workup for Hip Injuries – History, Exam, Imaging, Injections

Video Transcription

Video Summary

Guillaume Dumont from Lexington Orthopaedics and Sports Medicine discusses a comprehensive diagnostic approach for hip injuries. He categorizes hip pathologies into three areas: intra-articular issues (like femoral acetabular impingement [FAI], labral tears), peritrochanteric problems (such as gluteus medius/minimus tears, bursitis), and deep gluteal space/core muscle injuries. FAI has driven advances in hip arthroscopy over the past 20 years. Evaluation begins with detailed history and physical exam, including pain location, mechanical symptoms, gait analysis, range of motion, strength testing, and special tests (log roll, impingement, FABER). Imaging involves X-rays (AP pelvis, lateral views, false profile), MRI, and CT for structural assessment and surgical planning. Diagnostic image-guided injections help pinpoint pain sources and guide treatment. Understanding the complex anatomy and varied pathologies enables targeted management of common issues—arthritis, FAI, labral tears, and greater trochanteric pain syndrome—while considering less frequent extra-articular causes for optimal patient outcomes.

Asset Caption

Guillaume Dumont, M.D.

Keywords

hip injuries

femoral acetabular impingement

labral tears

hip arthroscopy

diagnostic imaging