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Message: <blockquote data-quote="amila_90210" data-source="post: 4089291" data-attributes="member: 111009"><p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna"> </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">1.2.1  Hip Joint </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna"></span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">Initial exam is X ray pelvis AP to include both </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">hip joints/ Hip Joint LAT </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">                                                              Grade (X) </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">Symptoms may be due to numerous etiologies </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">including trauma, neoplasm & arthropathy. </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">Plain X ray helps to detect most common causes </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">like OA and also less common causes like </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">pigmented villonodularsynovitis (PVNS) </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna"></span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">A.  Osteoarthritis (OA) </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">It is best evaluated with X rays. When X ray </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">shows the changes of OA, no more study   is </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">needed. OA hip is commonly bilateral and </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">involves superior joint space initially.  </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna"></span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">X ray findings are; </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">•  Marginal sclerosis, </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">•  Subchondral cysts </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">•  Osteophytes  </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">•  Joint space narrowing. </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna"></span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">B.  In suspected osteochrondramatosis </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">The X ray - may show uniform size calcified or </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">ossified bodies in the joint. </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">MRI - provides greater details of the disease with </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">thickened synovium and nodules in the joint. It is </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">useful if diagnosis is doubtful. (Y) </span></span></span></p> <p style="text-align: left"><span style="font-family: 'Arial Narrow'"><span style="font-size: 12px"><span style="color: Sienna">Confirmation is done by synovial biopsy. </span></span></span></p> <p style="text-align: left"></p></blockquote><p></p>

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