Role of Magnetic Resonance Imaging in the evaluation of adult non-traumatic painful hip

Osman, Noha M.; Hemeda, Tarek W.; Thabit, Mariam T.

doi:10.21608/smj.2019.47675

Role of Magnetic Resonance Imaging in the evaluation of adult non-traumatic painful hip

Document Type : Original Article

Authors

Department of Radiodiagnosis, Faculty of Medicine, Ain Shams University.

10.21608/smj.2019.47675

Abstract

Aim of the Work: to assess the role of Magnetic Resonance Imaging as a non-invasive diagnostic modality in adult patients with the non-traumatic painful hip joint.
Patients and Methods: This study was conducted on 60 adult patients with non-traumatic hip pain, referred from the outpatient orthopedic clinic, Ain Shams University hospitals. The patients were investigated using magnetic resonance imaging (MRI). All MR imaging examinations were conducted at the Department of Radiodiagnosis of the Ain shams University with the same 1.5-T unit (Philips Healthcare, Best, the Netherlands) with a body coil.
Results: avascular necrosis is the commonest cause of bilateral hip pain (25%) of the study patients followed by osteoarthritis (11.7%), while unilateral hip pain is commonly caused by stress fractures (8.3%), isolated joint effusion (10%) and tendinopathies (3.3%). Other causes included Marrow edema with hip effusion, chronic anemic state, migratory osteoporosis, osteoid osteoma, bursitis, bone infarcts, osseous hemangioma, hemosiderosis, sacroiliitis, femoral-acetabular impingement, iliacus abscess, and bone marrow edema. Magnetic resonance imaging doesn’t only demonstrate disorders of hip joint only; it also gives an accurate assessment of other extra-articular causes of referred hip pain as degenerative disc diseases and pelvic conditions.
Conclusion: Magnetic resonance is the best imaging modality to assess hip joint in non-traumatic cases. It has a great ability to diagnose disorders of bone, cartilage, ligaments, muscles and soft tissue. MRI can also detect joint effusion and bone marrow edema.

Keywords

References

Battaglia P.J., D'Anglo K., Kettner N.W. Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging. Journal of chiropractic medicine,2016;15(4):281-293.
Reddy K.V., Kapoor A. MRI evaluation of non-traumatic hip pain. journal of medical science and clinical research,2017; 5(3):19090-19101.
Drar H.A.A, Mohammed B.A.D, Ali Z.A.M. The role of MRI in the evaluation of painful hip joint (MRI of the hip joint).International Journal of Medical Imaging,2014;2(3): 77-82.
Kalekar T., Shriramwar P. Role of magnetic resonance imaging findings in the evaluation of painful hip joint. International Journal of Medical and Health Research, 2017;3(7):105-111.
Omar I.M., Blount K.J. Magnetic Resonance Imaging of the hip. Topics in magnetic resonance imaging,2015;24(4):81-165.
Gold S.L., Burge A.J., Potter H.G. MRI of hip cartilage: joint morphology, structure, and composition. Clin Orthop Relat Res,2012;470:3321–3331.
Hayem G(2001): Hip pain: Diagnostic orientation. Rev. Prat.,51(13): 1499-1504.
Horia B., Valentin C, Mihaela D, 2009.Avascular necrosis of the femoral head, A Journal of Clinical Medicine, Volume 4 No.1.
Boehm H and Link T, 2004. Bone imaging: traditional techniques and their interpretation. Curr. Osteoporos. Rep. Jun; 2(2): 41-46.
Tushar Kalekar, Pooja Shriramwar, 2017. Role of magnetic resonance imaging findings in the evaluation of painful hip joint. International Journal of Medical and Health Research; 3(7):105-111
David W, William J, and James M, 2004.the.In Diagnostic Imaging Orthopedics. 1st edition, edited by David, W.; Phillip, F.J.; Miriam, A.; et al., A Medical Reference Publishing Company, Canada, Section 4; PP: 2-98.
Hayam Abd Elmonsif Abd Elatif Drar, Basma Abd Elmoneim Dessouky Mohammed, Zeinab Abd Elaziz Mohammed Ali, 2014. The role of MRI in the evaluation of painful hip joint (MRI of the hip joint). International Journal of Medical Imaging. 2(3):77-82.
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.