MRI in Evaluation of painful Hip Joint
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Hip pain is a common problem that causes difficult diagnostic and therapeutic challenges for the clinician. Magnetic resonance imaging (MRI) has good soft tissue contrast and resolution. MRI offers valuable information regarding occult bony and cartilage injury such as stress fractures, avascular necrosis, osteoarthritis, as well as soft tissue abnormalities such as bursitis. This prospective study included 52 patients with painful hip joint. The following MR sequences were performed to all patients: coronal T1WI, T2WI, STIR &PDFS images, axial T1WI & T2WI, sagittal PDFS images and axial, coronal and sagittal T1WI after contrast injection. The MRI examination revealed pathological findings in 45 (86.53%) out of the 52 patients which were avascular necrosis in 16 (30.7%), fracture in 4 (7.6%), sacro-ilitis in 4 (7.6%),osteoarthritis 3 (5.7%),infective arthritis in 2 (3.8%) intramuscular abscess in 2 (3.8%), synovitis in 2 (3.8%),synovial effusion in 2 (3.8%),muscular edema in 2 (3.8%),bone marrow edema in 1 (1.9%),bone infarct in 1 (1.9%),bursitis in 1 (1.9%), femoro-acetabular impingement in 1 (1.9%),metastatic lesions in 1 (1.9%), multiple myeloma in 1 (1.9%),myositis ossificans in 1 (1.9%) and subchondral cyst in 1 (1.9%) patient with painful hip joint.
Authors and Affiliations
Dr. Arvindkumar Vaghamashi, Dr. Jayesh Bhatt, Dr. Jaydeep Doshi, Dr. Viral Patel
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