Hip Pointer Workup

Updated: Oct 22, 2015
  • Author: John M Martinez, MD; Chief Editor: Sherwin SW Ho, MD  more...
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Workup

Laboratory Studies

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  • Typically, laboratory studies are not useful in the diagnosis of hip pointers.

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Imaging Studies

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  • Plain radiographs: Order radiographs if fracture or myositis ossificans is considered possible. [6]

  • Computed tomography (CT) scans: Consider obtaining CT scans if the patient has continued pain or if his or her pain exceeds that expected from examination findings. CT scans can help clinicians to diagnose deep hematoma or internal injuries (eg, spleen).

  • Bone scans: Order a bone scan to exclude a stress response or fracture if initial radiographic findings are normal and the symptoms do not resolve or improve.

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Procedures

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  • If a significant hematoma is present, then aspiration can provide some pain relief and help prevent development of myositis ossificans or pressure and compression of local nerves (eg, lateral femoral cutaneous nerve).

  • Injection of a local anesthetic (eg, lidocaine) may provide short-term pain relief from a hip pointer.

  • Compartment pressures can be measured if a thigh or gluteal compartment syndrome is considered possible.

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