Orthopaedics  |  Osteo Hip Pathway - Xray Hip


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
  • Osteophytes


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.