It can also be used to monitor the progression of a disease like osteoporosis or to determine if a treatment you’re having is working. This chapter will include various osseous pathologies that can affect the hip joint such as stress fractures, osteonecrosis, or subchondral insufficiency fractures. This distinction helps to determine the appropriate laboratory and radiographic evaluation. Imaging evaluation of the hip joint requires expert knowledge about the detailed anatomy and specific injuries. Stephen Aoki about why and how a hip joint can be misshaped, and what can be done to relieve and treat the hip pain. Sometimes the pain is caused by a misshapen hip joint. It can be used to view an injury from a fall or accident. Overview The history and examination of the child with hip pain are focused on distinguishing between infectious, inflammatory, orthopedic, and neoplastic etiologies ( table 2 ). Hip pain without an injury isn’t always a sign of arthritis, or a pulled groin, if you’re young. Your doctor could order a lumbar spine X-ray for a variety of reasons. In the Osteoarthritis Initiative study (n4366), only 9.1 of hips in patients with frequent pain showed radiographic hip osteoarthritis, and 23.8 of hips with radiographic hip osteoarthritis were frequently painful. According to the Mayo Clinic, a lumbar spine X-ray can show whether you have arthritis or broken bones in your back, but it can’t show other problems with your muscles, nerves, or disks. Results did not differ much for hip pain at other locations or for painful internal rotation. When focusing on the lower spine, an X-ray can help detect abnormalities, injuries, or diseases of the bones in that specific area. The lumbar spine also has:Īn X-ray uses small amounts of radiation to view your body’s bones. The thoracic spine sits on top of the lumbar spine. It is used for the assessment of unilateral hip pathology, most commonly to diagnose a hip fracture or dislocation. Stage 2: This is when joint cartilage starts to break down, but the space between joints is still normal. The coccyx, or tailbone, is located below the sacrum. A hip x-ray, also known as a hip series or hip radiograph, is a pelvis x-ray with an additional lateral view of the specified hip. Stage 1: This is the earliest stage in which wear and tear of the hip joint may cause bone spurs but typically no pain. The sacrum is the bony “shield” at the back of your pelvis. The lumbar spine is made up of five vertebral bones. A lumbosacral spine X-ray, or lumbar spine X-ray, is an imaging test that helps your doctor view the anatomy of your lower back.