 Introduction/Background Chronic hip pain is a common chief complaint for patients, reportedly affecting 30% to 40% of adults who play sports [1,2], and 12% to 15% of all adults over 60 [3,4]. A wide variety of pathological entities may cause hip pain, including osseous as well as intra- or extra-articular soft tissue abnormalities [5-7]. Pathology involving the lumbar spine, sacroiliac, or knee joints can also cause hip pain [8], and these etiologies should be investigated as needed. There is limited original research that specifically targets the imaging of chronic hip pain, but imaging of specific conditions is widely discussed in the published literature. OR The American College of Radiology seeks and encourages collaboration with other organizations on the development of the ACR Appropriateness Criteria through representation of such organizations on expert panels. Participation on the expert panel does not necessarily imply endorsement of the final document by individual contributors or their respective organization. Reprint requests to: publications@acr.org Chronic Hip Pain Discussion of Procedures by Variant Variant 1: Chronic hip pain. Initial Imaging. Bone Scan Hip There is no relevant literature to support the use of bone scan of the hip in the initial evaluation of chronic hip pain. CT Arthrography Hip There is no relevant literature to support the use of CT arthrography of the hip in the initial evaluation of chronic hip pain. CT Hip With IV Contrast There is no relevant literature to support the use of CT hip with intravenous (IV) contrast in the initial evaluation of chronic hip pain. CT Hip Without and With IV Contrast There is no relevant literature to support the use of CT hip without and with IV contrast in the initial evaluation of chronic hip pain. CT Hip Without IV Contrast There is no relevant literature to support the use of CT of the hip without IV contrast in the initial evaluation of chronic hip pain.
Chronic Hip Pain PCAs.  Introduction/Background Chronic hip pain is a common chief complaint for patients, reportedly affecting 30% to 40% of adults who play sports [1,2], and 12% to 15% of all adults over 60 [3,4]. A wide variety of pathological entities may cause hip pain, including osseous as well as intra- or extra-articular soft tissue abnormalities [5-7]. Pathology involving the lumbar spine, sacroiliac, or knee joints can also cause hip pain [8], and these etiologies should be investigated as needed. There is limited original research that specifically targets the imaging of chronic hip pain, but imaging of specific conditions is widely discussed in the published literature. OR The American College of Radiology seeks and encourages collaboration with other organizations on the development of the ACR Appropriateness Criteria through representation of such organizations on expert panels. Participation on the expert panel does not necessarily imply endorsement of the final document by individual contributors or their respective organization. Reprint requests to: publications@acr.org Chronic Hip Pain Discussion of Procedures by Variant Variant 1: Chronic hip pain. Initial Imaging. Bone Scan Hip There is no relevant literature to support the use of bone scan of the hip in the initial evaluation of chronic hip pain. CT Arthrography Hip There is no relevant literature to support the use of CT arthrography of the hip in the initial evaluation of chronic hip pain. CT Hip With IV Contrast There is no relevant literature to support the use of CT hip with intravenous (IV) contrast in the initial evaluation of chronic hip pain. CT Hip Without and With IV Contrast There is no relevant literature to support the use of CT hip without and with IV contrast in the initial evaluation of chronic hip pain. CT Hip Without IV Contrast There is no relevant literature to support the use of CT of the hip without IV contrast in the initial evaluation of chronic hip pain.