Standard X-ray of the pelvis, hips and sacroiliac joints
Pelvis and Hip X-Ray in Casablanca
This X-ray shows the pelvic bones, the hips and, if needed, the sacroiliac joints, which connect the lower spine to the pelvis. It is often the first exam for hip pain or after a fall. It shows a fracture, joint space narrowing due to osteoarthritis, or the position of a hip replacement. However, it shows muscles, tendons and some early hairline fractures poorly; these are better studied with ultrasound or MRI.
Duration, report and equipment
Duration
Usually 5 to 10 minutes.
Report turnaround
Report within 24 hours. In an emergency, during opening hours, the report is handed over immediately.
Equipment
Carestream
Reading aid
The center uses Gleamer, artificial intelligence software that helps the radiologist read X-rays. Interpretation and the report are still done by the radiologist.
When is this exam needed?
- Hip or groin pain, often related to osteoarthritis.
- Fall in an older person: looking for a femoral neck fracture.
- Monitoring of a hip replacement.
- Checking an infant's hips when ultrasound is no longer suitable.
- Pain in the buttocks or lower back suggesting involvement of the sacroiliac joints.
- Limping in a child or teenager, depending on the doctor's assessment.
How the exam is done
In the changing room, you keep on underwear with no metal parts. Before starting, tell us about a joint replacement, a possible pregnancy or pain that prevents you from moving your leg.
After removing your pants and belt, you lie on your back with your legs straight, and the radiographer turns your feet slightly inward. A side view of the hip may follow, with the leg bent and moved outward; some assessments are done standing. Each image requires keeping still for a few seconds. The radiographer checks each image on the screen and retakes it if the position is not right. You then get dressed and leave with no special instructions.
Preparation
- Choose clothes without rivets or metal zippers around the pelvis.
- Tell us about a hip replacement and bring its surgical report if you have it.
- If walking is difficult, come with someone who can help you get onto the table.
Fasting
No fasting: eat and drink as usual.
Contrast injection
No injection is given.
Contraindications and precautions
- Current or possible pregnancy: you must tell us, as the pelvis is exposed.
- Leg too painful to move: let the radiographer know.
- Joint replacement or screws in the hip: they do not prevent the X-ray, but tell us about them.
- Piercing or metal object on the belly: remove it, as it would hide part of the pelvis.
Documents to bring
- Doctor's prescription
- Previous X-rays of the pelvis or hips
- Surgical report if you have a hip replacement
- Insurance or mutual insurance fund card
Price and insurance coverage
The center accepts coverage from insurance companies and the main mutual insurance funds. You submit the coverage request to your insurer or fund yourself. For AtlantaSanad and Sanlam, the center takes care of it.
No prices are shown on this site: Kenza gives you the exact price on WhatsApp, along with the coverage procedure for your situation.
Frequently asked questions
Why turn the feet inward?
This rotation shows the full length of the femoral neck, which helps detect a crack or early osteoarthritis.
Is a hip replacement a problem?
No, this is the usual follow-up exam. The radiologist compares the position of the implant and the bone around it with your previous images.
X-ray or MRI for the hip?
The X-ray often comes first. If it is normal and the pain continues, an MRI may be offered.
Can my baby have this X-ray?
Yes. A parent helps the baby stay flat, wearing a protective apron. The dose received is low.
Why examine the sacroiliac joints?
These joints, between the sacrum and the pelvis, can become inflamed and cause pain in the buttocks or lower back, often at night. The X-ray looks for signs of involvement; in the early stages, MRI is more sensitive.
What does the X-ray show in hip osteoarthritis?
The radiologist describes the narrowing of the space between the head of the femur and the pelvis, as well as the small bony growths around the joint. These signs help the doctor follow the changes and discuss a hip replacement.