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Ultrasound Imaging and Guided Injection for the Lateral and Posterior Hip

Chang, Ke-Vin MD, PhD; Wu, Wei-Ting MD; Lew, Henry L. MD, PhD; Özçakar, Levent MD

American Journal of Physical Medicine & Rehabilitation: April 2018 - Volume 97 - Issue 4 - p 285–291
doi: 10.1097/PHM.0000000000000895
Literature Review

Ultrasound has emerged as one of the most utilized tools to diagnose musculoskeletal disorders and to assist in interventions. Traditionally, sonographic examination of the hip joint has been challenging because most of the major structures are deeply situated, thus requiring the use of curvilinear transducer for better penetrance. The posterior lateral hip is a frequent area for musculoskeletal pain and nerve entrapments. Common disorders include greater trochanteric pain syndrome, gluteus medius tendinopathy, piriformis syndrome, pudendal neuralgia, and proximal hamstring tendinopathy. The present review article aims to delineate sonoanatomy of the posterior lateral hip and to exemplify several common ultrasound guided procedures at the greater trochanteric, gluteal, and ischial tuberosity regions.

From the Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, BeiHu Branch and National Taiwan University College of Medicine, Taipei, Taiwan (K-VC, W-TW); Department of Physical Medicine and Rehabilitation, School of Medicine, Virginia Commonwealth University, Richmond, Virginia (HLL); John A Burns School of Medicine, University of Hawaii at Manoa, Honolulu, Hawaii (HLL); and Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey (LÖ).

All correspondence should be addressed to: Ke-Vin Chang, MD, PhD, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, 87, Neijiang St, Wanhua District, Taipei City 108, Taiwan.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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