The Role of MRI in the Evaluation of Painful Hip Joint (MRI of Hip Joint)
International Journal of Medical Imaging
Volume 2, Issue 3, May 2014, Pages: 77-82
Accepted: Apr. 15, 2014;
Published: May 20, 2014
Views 3231 Downloads 416
Hayam Abd Elmonsif Abd Elatif Drar, Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Egypt
Basma Abd Elmoneim Dessouky Mohammed, Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Egypt
Zeinab Abd Elaziz Mohammed Ali, Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Egypt
Follow on us
This study aim to evaluate the diagnostic value of MRI in assessment of painful hip joint. Background: Radiographic evaluation is crucial in patients with painful hip joint. Hip pain has different etiologies in adults and children. MRI is the method of choice in characterizing the various disorders and assessing the full extent of osseous, chondral and soft tissue abnormality of the hip joint. Methods: This prospective study included 100 patients with painful hip joint. The following MR sequences were performed to all patients: Coronal T1, T2 & STIR WIs, axial T1&T2WIs, axial T1WI and sagittal T1WI after contrast injection. Patient's history, local examination of the diseased hip and laboratory investigations were performed. Results: Male to female was 45 to 55, their ages ranged from 10 to 60 years with a mean age of 35 years. The MRI sensitivity were as follows 88% in avascular necrosis, 80% in osteoarthritis,90% in migratory osteoporosis, 100% in transient synovitis, 72% in septic arthritis, 80% in Perthe's disease, 80 % in tumor, 100% in inflammatory lesions 75% in slipped femoral epiphysis and 100% in stress fractures . Conclusion: MRI of the hip joint is an informative, diagnostic, and accurate for the assessment of hip pain and sufficient imaging modality for delineation of different hip joint pathology.
MRI, Hip Joint, Hip Pain, Arthritis
To cite this article
Hayam Abd Elmonsif Abd Elatif Drar,
Basma Abd Elmoneim Dessouky Mohammed,
Zeinab Abd Elaziz Mohammed Ali,
The Role of MRI in the Evaluation of Painful Hip Joint (MRI of Hip Joint), International Journal of Medical Imaging.
Vol. 2, No. 3,
2014, pp. 77-82.
Ghebontni L, El-khoury J, Grenier PA. MR imaging of the hip: Normal intra-articular structures and common disorders. Eur Radiol 2009; 10:83–8.
Boutry N, Fredoux D, Migaud H. Rapidly destructive osteoarthritis of the hip: MR imaging findings. AJR Am J Roentgenol 2005; 179: 657-3.
Verbeeten KM, Hermann KL, Hasselqvist M. The advantages of MRI in the detection of occult hip fractures. Eur Radiol 2007; 15:165-7.
Aldridge JM, Urbaniak JR. Avascular necrosis of the femoralhead: etiology, pathophysiology,classification, and current treatmentguidelines. Am J Orthop Jul 2008; 33:327-2.
Kim YM, Kim HJ. The pattern of bone marrow edema on MRI in osteonecrosis of the femoral head. J Bone Joint Surg Br 2007; 82:837-1.
Takatori Y, Kokubo T, Ninomiya S. Avascular necrosis of the femoral head. JBJS 2000; 75: 217-1.
Hayashi D, Roemer FW, Felson DT. Magnetic resonance imaging of subchondral bone marrow lesions in association with osteoarthritis. Semin Arthritis Rheum 2012; 42: 105-8.
Vande BC, Malghem JJ, Lecouvet FE. Idiopathic bone marrow edema lesions of the femoral head: predictive value of MR imaging findings. Radiology 2003; 212:527–5.
Yang WJ, Lim GY. MR imaging of transient synovitis: differentiation from septic arthritis. Pediatr Radio 2009; l 39:532-7.
Ducou L, Pointe H, Haddad S. Legg-Perthes-Calvé disease: staging by MRI using gadolinium. Pediatr Radiol 2000; 24: 88-1.
Dillon JE, Connolly SA, Connolly LP. MR Imaging of Congenital /Developmental and Acquired Disorders of the Pediatric Hip and Pelvis. Magnetic Resonance Imaging Clinics of North America 2009; 13: 55-9.
Deutsch A., Mink L. and Waxman A. Occult fractures of the proximal femur: MR imaging. Radiology, 2005;170:113–116.
Quinn S. and Carthy J. Prospective evaluation of patients with suspected hip fracture and indeterminate radiographs: Use of T1 weighted MR images. 2002; Radiology, 187:469–471.