“…The importance of the interpretation of these images is recognized and it is recommended that an orthopaedic surgeon or musculoskeletal radiologist or an arthroplasty practitioner with suitable training complete this (Haddad et al, ; British Orthopaedic Association, ). Although both cost and risk are associated with taking X‐ray images, they continue to form the basis of total hip arthroplasty assessment to identify degenerative changes, which cannot be predicted from symptoms alone (Aghayev et al, ; Smith et al, ). Patient‐reported outcome measures are a useful indicator of factors such as pain, function, general health or satisfaction, particularly if a change in score is measured (Murray et al, ).…”