MSK- hip and thigh protocol

Question 1

Anterior Hip in Long Axis (LAX) indications?

Answer 1

• Differentiates hip effusion (intracapsular) fromIliopsoas Bursitis(extracapsular)
• Best image to guideHip Injectionor aspiration (broad femoral neck as target)

Question 2

Anterior Hip in Long Axis (LAX) positioning?

Answer 2

• supine and hip in neutral position or slight external rotation
• probe in line with femoral neck

Question 3

Anterior Hip in Transverse or Short Axis (SAX) indications?

Answer 3

• confirms hip effusion (intracapsular)

Question 4

Anterior Hip in Transverse or Short Axis (SAX) positioning?

Answer 4

• supine with hip in neutral position or slight external rotation

Probe in short axis with approximately 20 degrees angulation

Question 5

what is the most anterior of the gluteal tendons?

Answer 5

• gluteus miniumus

Question 6

where does the glutus medius insert?

Answer 6

greater trochanter laterally and moves over the gluteus minimus

Question 7

Lateral Hip at Trochanteric Bursa indications?

Answer 7

• EvaluatesTrochanteric Bursitis(Gluteus Medius bursa)

- Directs trochanteric bursa region injection (typically tendonosis rather than the actually rareBursitis)

Question 8

Lateral Hip at Trochanteric Bursa positioning?

Answer 8

Patient lies on their side (decubitus)

Question 9

where does the gluteus maximus insert?

Answer 9

further inferolateral and posteriorly

Question 10

where does the gluteus minimus and medius insert?

Answer 10

into the greater trochanter

Question 11

gluteus medius overlies what muscle?

Answer 11

gluteus minimus muscle

Question 12

how to interrogate the ISCHIOGLUTEAL BURSA?

Answer 12

• Move the probe posterirly in a transverse plane till the ischium in visualised
• The bursa is anterior to this and under the gluteus maximus