Hip

A hip X-ray captures detailed images of the hip joint to assess bone alignment, detect fractures, or investigate causes of pain and stiffness.

What Is a Hip X-Ray?

A hip X-ray is a simple and painless diagnostic procedure that uses low-dose radiation to produce detailed images of the hip joint, including the surrounding bones and soft tissues. It helps doctors evaluate your pelvic anatomy, check the alignment of the femoral head with the acetabulum, and detect any abnormalities in the hip bones or pelvis. A lateral hip X-ray may be taken for better visualization of the joint from different angles.

This test is commonly used when you're experiencing persistent hip pain, stiffness, limited mobility, or after an injury. It’s a standard diagnostic tool in orthopaedic evaluations and emergency trauma care.

When Is a Hip X-Ray Needed?

You may need a hip X-ray if you:

• Experience sudden or chronic hip pain
  
• Have trouble walking or bending your leg
  
• If you’ve experienced a fall or accident and are unable to move your leg or bear weight, a hip fracture may be suspected.
• Are being evaluated for hip arthritis or hip dysplasia
  
• Show signs of pelvic injuries
  
• Are preparing for or recovering from hip replacement surgery
  

It’s also essential for athletes and older adults experiencing pain or instability in the hip area. If you’re undergoing a Geeky Medics hip exam, a radiological follow-up with an X-ray may be recommended based on clinical findings.

Common Conditions Detected by a Hip X-Ray

A hip X-ray can reveal a variety of conditions, including:

• Hip fractures: Detects cracks or complete breaks in the hip or femur, especially common in elderly patients.
  
• Hip dysplasia: Shows abnormal formation of the hip socket.
  
• Hip impingement refers to abnormal bone shapes in the hip joint that limit movement and cause joint irritation.
  
• Severe hip arthritis: Appears as joint space narrowing, bone spurs, or sclerosis on the X-ray of the hip.
  
• Hip replacement evaluation: A before and after hip replacement X-ray can assess implant positioning and joint healing.
  
• Cancer detection: While not the first test for detecting cancer, a hip X-ray may show suspicious bone lesions that warrant further imaging.
  

Wondering if an X-ray can determine the need for a hip replacement? – Yes, it can. Your orthopaedic specialist will look for severe joint damage, bone-on-bone contact, or deformity on the hip replacement X-ray to determine if surgery is needed.

Normal vs. Abnormal Hip X-Rays

In a standard hip X-ray, the femoral head appears well-aligned within the acetabulum, showing distinct joint spacing and smooth, uninterrupted bone contours. There are no signs of fracture, dislocation, or bone degeneration.

An abnormal hip X-ray may reveal:

• Joint space narrowing due to osteoarthritis
  
• Misaligned bones from a hip fracture
  
• Sclerotic changes in severe hip arthritis
  
• Bone lesions or unusual growths suggestive of cancer
  
• Hip dysplasia in children or adults
  
• Prosthetic issues in a hip replacement X-ray
  

If you're viewing your own images, terms like dynamic hip screw X-ray or trochanteric line might appear in surgical or post-operative radiographs. For female patients, a female pelvis X-ray can also help distinguish gynaecological vs. orthopaedic issues.

The Procedure Explained: What to Expect

Getting a hip X-ray is quick and straightforward. Here’s what usually happens:

1. You’ll be asked to lie on the X-ray table, with the affected leg positioned straight or turned inward for optimal view.
   
2. A lead apron may be placed over parts of your body to limit radiation exposure.
   
3. One or more images will be taken—usually including a pelvis X-ray and a lateral hip radiograph for better assessment.
   
4. You’ll be required to remain motionless for a few seconds while the image is being taken.
   

The entire process typically takes around 10 to 15 minutes.

How to Prepare for a Hip X-Ray

No major preparations are needed for a hip X-ray, but you can follow these basic steps:

• Dress in loose, comfortable attire or change into a medical gown as required.
  
• Remove any metal items (belts, zippers, jewellery) that might interfere with imaging.
  
• Inform your radiologist if you're pregnant or suspect pregnancy.
  
• Carry past X-rays of the pelvis or hip if available, for comparison.
  

Your doctor might also conduct a Geeky Medics hip examination checklist prior to imaging to localise the issue clinically.

Cost of Hip X-Ray

The cost of a private hip X-ray in the UK typically ranges between £85 to £250, depending on location, type of scan (e.g., lateral view, pelvis X-ray), and whether you're using NHS or private healthcare.

Prices might also vary if you require additional views like a pelvis X-ray labelled or dynamic screw X-ray post-surgery. Always confirm whether the quoted price includes radiologist reporting and digital access to images.

Book a Private Hip X-Ray Today

If you're experiencing persistent hip discomfort, reduced mobility, or recovering from an injury, a private hip X-ray can offer fast clarity and peace of mind. At our partner clinics, we ensure:

• Same-day or next-day appointments
  
• Quick results with radiologist reports
  
• Access to expert orthopaedic consultation
  
• Private and comfortable scan centres
  

Don’t wait for symptoms to worsen. Book your private hip X-ray today and take control of your health.