USMSIT/NMUSIT Fundamental Guide on Diagnostic and Interventional Hip Ultrasonography
Journal of Medical Ultrasound, vol.34, no.2, pp.140-147, 2026 (ESCI, Scopus)
- Publication Type: Article / Review
- Volume: 34 Issue: 2
- Publication Date: 2026
- Doi Number: 10.4103/jmu.jmu-d-26-00004
- Journal Name: Journal of Medical Ultrasound
- Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, Directory of Open Access Journals
- Page Numbers: pp.140-147
- Keywords: Injection, joint, pain, pelvis, ultrasound
- Hacettepe University Affiliated: Yes
Abstract
Hip pain arises from a spectrum of intra-articular, periarticular, and neurogenic conditions. Ultrasound offers real-time, radiation-free visualization of the hip joint, adjacent soft tissues, and peripheral nerves-making it an essential tool in contemporary musculoskeletal evaluation. Guided by the EURO-MUSCULUS/USPRM framework, this guideline proposes a standardized, anatomy-based protocol for both diagnostic and interventional hip ultrasonography. Developed under the educational mission of the Ultrasound and Musculoskeletal/Neuromuscular Sonography Initiative in Taiwan-through its USMSIT and NMUSIT programs-the protocol combines structured instruction, live demonstrations, and supervised hands-on training to promote consistency and clinical relevance. The article outlines a comprehensive scanning strategy detailing key anatomical landmarks, recommended patient positioning, and optimal transducer orientation. Representative sonographic findings of common hip disorders-including joint effusion, gluteal tendinopathy, hamstring injuries, piriformis-related pathology, and lateral femoral cutaneous nerve entrapment-are provided to support interpretation. Techniques for ultrasound-guided interventions, such as intra-articular, greater trochanteric, and piriformis injections, are also described. Standardizing image acquisition and interpretation may enhance diagnostic accuracy and support safer as well as more effective management of hip pain.