![]() How should x-ray and CT of the pelvis be interpreted? What are the techniques for pelvic x-ray and CT? What injuries are associated with pelvic trauma? Along the way, we consider a number of critical clinical questions: Because fractures of the proximal femur are often clinically indistinguishable from fractures of the pelvis, we illustrate these injuries here, with more discussion in the chapters on extremity injuries ( Chapter 14 ) and musculoskeletal magnetic resonance imaging (MRI, Chapter 15 ). We also discuss high-risk pelvic bony injuries associated with soft-tissue and vascular injuries-which are examined in detail in related chapters on genitourinary imaging ( Chapter 12 ), abdominal trauma ( Chapter 10 ), and interventional radiology ( Chapter 16 ). In this chapter, we review a systematic approach to interpretation of the standard pelvis x-ray, correlating abnormalities with computed tomography (CT) findings. ![]() Total hip replacement. Your doctor will remove both the damaged acetabulum and femoral head, and then position new metal, plastic or ceramic joint surfaces to restore the function of your hip.Imaging of the pelvis can be required following minor or major trauma and for nontraumatic painful conditions. Your doctor may recommend surgery if your pain from arthritis causes disability and is not relieved with nonsurgical treatment. Corticosteroids (also known as cortisone) are powerful anti-inflammatory agents that can be taken by mouth or injected into the painful joint.Other NSAIDs are available by prescription. Over-the-counter NSAIDs include naproxen and ibuprofen. Nonsteroidal anti-inflammatory drugs (NSAIDs) may relieve pain and reduce inflammation.Be sure to discuss potential side effects with your doctor. Like all medications, however, over-the-counter pain relievers can cause side effects and interact with other medications you are taking. Acetaminophen (e.g., Tylenol) is an over-the-counter pain reliever that can be effective in reducing mild arthritis pain.If your pain affects your daily routine, or is not relieved by other nonsurgical methods, your doctor may add medication to your treatment plan. Using assistive aids like a long-handled reacher to pick up low-lying things will help you avoid movements that may cause pain. Using walking supports like a cane, crutches, or a walker can improve mobility and independence. Your doctor or physical therapist can help develop an individualized exercise program that meets your needs and lifestyle.Īssistive devices. Specific exercises can help increase range of motion and flexibility, as well as strengthen the muscles in your hip and leg. Losing weight can reduce stress on the hip joint, resulting in less pain and increased function.Switching from high-impact activities (like jogging or tennis) to lower impact activities (like swimming or cycling) will put less stress on your hip.Minimizing activities that aggravate the condition, such as climbing stairs.Some changes in your daily life can protect your hip joint and slow the progress of osteoarthritis. Your doctor may recommend a range of nonsurgical treatment options. Nonsurgical TreatmentĪs with other arthritic conditions, early treatment of osteoarthritis of the hip is nonsurgical. Although there is no cure for osteoarthritis, there are a number of treatment options that will help relieve pain and improve mobility.
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