Imaging of Osteoarthritis of the Hip

Pamela J Walsh; Daniel M Walz

doi:10.1016/j.rcl.2022.03.005

Imaging of Osteoarthritis of the Hip

Radiol Clin North Am. 2022 Jul;60(4):617-628. doi: 10.1016/j.rcl.2022.03.005. Epub 2022 May 21.

Authors

Pamela J Walsh¹, Daniel M Walz²

Affiliations

¹ Department of Radiology, Northwell Health, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 611 Northern Boulevard, Suite 250, Great Neck, NY 11021, USA. Electronic address: Pwalsh3@northwell.edu.
² Department of Radiology, Northwell Health, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 611 Northern Boulevard, Suite 250, Great Neck, NY 11021, USA.

PMID: 35672094
DOI: 10.1016/j.rcl.2022.03.005

Abstract

Hip osteoarthritis (OA) is a disease process that impacts the aging population. OA of the hip is the result of degeneration of the articular cartilage, underlying bone and soft tissue structures. Radiography is the first-line modality for imaging OA. Radiographic assessment includes imaging features of joint space narrowing, sclerosis, osteophytes, and bony deformities. CT can provide detailed evaluation of the hip with multiplanar reformats. MRI can assess bone marrow signal, articular cartilage damage, and labral abnormalities. Other disease process may appear similar or present concurrently with OA, such as osteonecrosis, rapidly progressive arthritis, and inflammatory and infectious arthropathies.

Keywords: Hip; Joint space narrowing; MRI; Osteoarthritis; Osteophyte; Radiography; Sclerosis.

Publication types

Review

MeSH terms

Aged
Cartilage, Articular*
Humans
Magnetic Resonance Imaging / methods
Osteoarthritis, Hip* / diagnostic imaging
Osteophyte* / diagnostic imaging
Radiography