Skip to content
  1. Home > AUC > Hip Pain – Completed 2021-08-03

Hip Pain Appropriate Use Criteria

UC Hip Pain AUC (pdf)

Priority Clinical Area Coverage

This AUC reasonably addresses common and important clinical scenarios within the "Hip pain" Priority Clinical Area (PCA) and thus meets the minimum requirement for qCDSM to cover that PCA. However, by CMS definition of relevancy, it is not considered relevant to that PCA, as further described (See AUC Overview).

Search Strategy and Sources – Completed 2023-04-25

  • Limits:  English, 15 years publication, and adult, 19+
  • Extensive PubMed (Medline), Supplemental: EMBase, Web of Science, and Cochrane Database of Systematic Reviews.

    ( (Hip Pain AND diagnostic imaging(major) AND investigative technique(major) OR
    ( Hip Pain AND diagnostic imaging AND investigative technique AND review/document type) ) )
    OR
    ( (Hip Pain AND diagnostic imaging  OR Hip /diagnostic imaging (major) )
    AND (practice guidelines as topic OR decision support techniques OR sensitivity and specificity
    OR predictive value of tests OR evidence based medicine) )

Results

197 publications were examined by team leaders. 50 references were determined to be relevant and distributed to the entire team for grading. 14 references are cited in the AUC.

 

Hip Pain AUC References and OCEBM Level of Evidence

  1. Bencardino, J.T., et al., Synovial plicae of the hip: evaluation using MR arthrography in patients with hip pain. Skeletal Radiol, 2011. 40(4): p. 415-21. Level 3.
  2. Blum, A., A. Raymond, and P. Teixeira, Strategy and optimization of diagnostic imaging in painful hip in adults. Orthop Traumatol Surg Res, 2015. 101(1 Suppl): p. S85-99. Level 2.            
  3. Cannon, J., S. Silvestri, and M. Munro, Imaging choices in occult hip fracture. J Emerg Med, 2009. 37(2): p. 144-52.        Level 1                                                            
  4. Cooper, H.J., et al., Magnetic resonance imaging in the diagnosis and management of hip pain after total hip arthroplasty.   J Arthroplasty, 2009. 24(5): p. 661-7. Level 4.           
  5. Deslandes, M., et al., The snapping iliopsoas tendon: new mechanisms using dynamic sonography. AJR Am J Roentgenol, 2008. 190(3): p. 576-81. Level 3.
  6. Ha, Y.C., et al., The diagnostic value of direct CT arthrography using MDCT in the evaluation of acetabular labral tear: with arthroscopic correlation. Skeletal Radiol, 2013. 42(5): p. 681-8. Level 3.
  7. Jung, J.Y., et al., Diagnostic value of ultrasound and computed tomographic arthrography in diagnosing anterosuperior acetabular labral tears. Arthroscopy, 2013. 29(11): p. 1769-76. Level 4.
  8. Khurana, B., et al., Abbreviated MRI for patients presenting to the emergency department with hip pain. AJR Am J Roentgenol, 2012. 198(6): p. W581-8. Level 3.
  9. Kim, C., et al., Association of hip pain with radiographic evidence of hip osteoarthritis: diagnostic test study. Bmj, 2015. 351: p. h5983. Level 1.
  10. Lubovsky, O., et al., Early diagnosis of occult hip fractures MRI versus CT scan. Injury, 2005. 36(6):788-92. Level 4.
  11. Martin, H.D., S.A. Shears, and I.J. Palmer, Evaluation of the hip. Sports Med Arthrosc Rev, 2010. 18(2): p. 63-75. Level 4.
  12. Mast, N.H., et al., Reliability and agreement of measures used in radiographic evaluation of the adult hip. Clin Orthop Relat Res, 2011. 469(1): p. 188-99. Level 3.
  13. Perdikakis, E., et al., Comparison of MR-arthrography and MDCT-arthrography for detection of labral and articular cartilage hip pathology. Skeletal Radiol, 2011. 40(11): p. 1441-7. Level 3.
  14. Sankey, R.A., et al., The use of MRI to detect occult fractures of the proximal femur: a study of 102 consecutive cases over a ten-year period. J Bone Joint Surg Br, 2009. 91(8): p. 1064-8. Level 3.