<br />
Ultrasound<br />
Quick guide<br />
Ultrasound-guided hip arthrocentesis<br />
Arun Nagdev, MD<br />
Highland General Hospital<br />
Division of Emergency Ultrasound<br />
Oakland, California<br />
The more you see, the more you can do<br />
Hip pain is a common patient complaint with a broad spectrum<br />
of etiologies ranging from the benign, such as osteoarthritis, to the<br />
significant, such as septic arthritis. Using point-of–care ultrasound,<br />
the emergency physician can evaluate the hip for an effusion and,<br />
if necessary, perform ultrasound–guided arthrocentesis for either<br />
diagnostic or therapeutic indications.<br />
Ultrasound-guided hip arthrocentesis<br />
Step 1<br />
4 Use a curvilinear or linear transducer (depending on the size of the patient)<br />
4 Transducer orientation marker pointing lateral<br />
4 Locate femoral vessels in the near field<br />
4 Locate the femoral head/neck in the far field<br />
Inguinal<br />
ligame<a title="Quick_Reference_Hip_Arthrocentisis_Zmag page 1" href="http://viewer.zmags.com/publication/2b42c128?page=1"> Ultrasound Quick guide Ultrasound-guided hip art</a>
<a title="Quick_Reference_Hip_Arthrocentisis_Zmag page 2" href="http://viewer.zmags.com/publication/2b42c128?page=2"> Ultrasound-guided hip arthrocentesis Step 1 4 </a>
<a title="Quick_Reference_Hip_Arthrocentisis_Zmag page 3" href="http://viewer.zmags.com/publication/2b42c128?page=3"> Ultrasound-guided hip arthrocentesis Step 2 4 </a>
<a title="Quick_Reference_Hip_Arthrocentisis_Zmag page 4" href="http://viewer.zmags.com/publication/2b42c128?page=4"> Ultrasound-guided hip arthrocentesis Step 4 4 </a>
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