ultrasound of the hip (adult)

There are several approaches to ultrasound examination of the adult hip.

Anterior approach

Patient positioning
  • supine with the hip in mild external rotation
Planes

Posterior approach

Patient positioning
  • prone
Planes

Lateral approach

Patient positioning
  • lateral decubitus
Planes

Medial approach

Patient positioning
  • 45-degree knee flexion, external rotation (frog-leg position)
Planes
  • sagittal oblique and axial planes to assess the adductor muscles, pubic bone and insertion of rectus abdominis muscle

Practical points

Some studies suggest an effusion of up to 7 mm can be present as part of normal variation .

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