Imaging Tests for Hip Pain: Which One Do You Need?
Published: Feb 09, 2024
Choosing the right imaging test is vital for diagnosing and treating hip pain effectively. Discover which imaging tests are best for your hip pain.
Contents
Plain Film Radiography
Plain film radiography is the go-to initial imaging test for any hip pain. It helps detect fractures, arthritis, and other joint issues. However, it may not identify early signs of conditions like avascular necrosis (AVN) or osteomyelitis.
Advanced Imaging Tests
For more complex cases, CT and MRI offer detailed views. CT is excellent for assessing fractures and planning surgeries, while MRI excels in evaluating soft tissues and early AVN. These tests provide comprehensive insights when plain radiography falls short.

Specialized Imaging Techniques
Other techniques like ultrasound and bone scans are used in specific scenarios. Ultrasound is non-invasive and good for tendon evaluations, whereas bone scans cover large areas to detect fractures or infections not visible on other tests.
Frequently Asked Questions
MRI is preferred for soft tissue injuries and early detection of AVN.
CT scans can reveal detailed bone structures and fractures not visible on X-rays.
Yes, particularly for evaluating tendons and muscles without radiation.
No, bone scans are non-specific and often used when other tests aren't available.
The Bottom Line
Selecting the right imaging test is essential for accurate diagnosis and treatment.
References
- American College of Radiology. ACR Appropriateness Criteria: Imaging After Total Hip Arthroplasty. J Am Coll Radiol 2023; 20:S413.
- Mandell JC, Marshall RA, Weaver MJ, et al. Traumatic Hip Dislocation: What the Orthopedic Surgeon Wants to Know. Radiographics 2017; 37:2181.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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