Osteo Hip Pathway - Xray Hip
A Hip Xray is required before referring the patient for consideration of a Total Hip Joint Replacement.
- As patients require an xray within 6 months of their surgery if a recent xray confirming OA exists it is not necessary to repeat this.
- Always attach the hip xray report to any referral as reports and films are not routinely available at grading.
An urgent Hip Xray is required for:
- History of injury with loss of function.
- Persistent aching pain not related to activity.
- Night pain.
Other indications for Hip Xray:
- Pain and functional impairment are significant.
- Pain when the patient has had a previous hip joint replacement.
- Recurrent presentation with the same symptoms.
- Suspected bone malignancy (primary or metastatic).
- Hip locking, restricted movement, or deformity.
Xray signs of osteoathritis:
- Joint space narrowing
- Subchondral sclerosis
- Subchondral cysts
Note that when a septic arthritis or osteomyelitis is suspected then refer urgently to the Orthopaedic Registrar on call.
Last updated : Friday, August 21, 2015
Next review date : Saturday, August 20,2016
Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.