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Magnetic Resonance Imaging of the Hip Labrum, Capsule, and Synovium

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Hip Joint Restoration

Abstract

Magnetic resonance imaging (MRI) is the imaging modality of choice in the preoperative and postoperative assessment of patients undergoing hip arthroscopy. MRI offers high soft tissue contrast, sensitivity to fluid, and direct multi-planar acquisition and avoids exposure to ionizing radiation. With attention to scan parameters, accurate and reproducible imaging can be obtained allowing for precise assessment of the labrum, capsule, synovium, and cartilage. The MRI appearance of the labrum, capsule, and synovium is discussed with reference to the most common pathologies encountered at hip arthroscopy.

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References

  1. Kelly BT, Buly RL. Hip arthroscopy update. HSS J. 2005;1(1):40–8.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Petersen W, Petersen F, Tillmann B. Structure and vascularization of the acetabular labrum with regard to the pathogenesis and healing of labral lesions. Arch Orthop Trauma Surg. 2003;123(6):283–8.

    Article  PubMed  Google Scholar 

  3. Seldes RM, Tan V, Hunt J, Katz M, Winiarsky R, Fitzgerald RH. Anatomy, histologic features, and vascularity of the adult acetabular labrum. Clin Orthop Relat Res. 2001;382:232–40.

    Article  Google Scholar 

  4. Hodler JJ, Yu JSJ, Goodwin DD, Haghighi PP, Trudell DD, Resnick DD. MR arthrography of the hip: improved imaging of the acetabular labrum with histologic correlation in cadavers. AJR Am J Roentgenol. 1995;165(4):887–91.

    Article  CAS  PubMed  Google Scholar 

  5. Petersilge CA, Haque MA, Petersilge WJ, Lewin JS, Lieberman JM, Buly R. Acetabular labral tears: evaluation with MR arthrography. Radiology. 1996;200(1):231–5.

    Article  CAS  PubMed  Google Scholar 

  6. Czerny CC, Hofmann SS, Neuhold AA, Tschauner CC, Engel AA, Recht MPM, et al. Lesions of the acetabular labrum: accuracy of MR imaging and MR arthrography in detection and staging. Radiology. 1996;200(1):225–30.

    Article  CAS  PubMed  Google Scholar 

  7. Smith TO, Hilton G, Toms AP, Donell ST, Hing CB. The diagnostic accuracy of acetabular labral tears using magnetic resonance imaging and magnetic resonance arthrography: a meta-analysis. Eur Radiol. 2010;21(4):863–74.

    Article  PubMed  Google Scholar 

  8. Abe I, Harada Y, Oinuma K, Kamikawa K, Kitahara H, Morita F, et al. Acetabular labrum: abnormal findings at MR imaging in asymptomatic hips. Radiology. 2000;216(2):576–81.

    Article  CAS  PubMed  Google Scholar 

  9. Kelly BT, Shapiro GS, Digiovanni CW, Buly RL, Potter HG, Hannafin JA. Vascularity of the hip labrum: a cadaveric investigation. Arthroscopy. 2005;21(1):3–11.

    Article  PubMed  Google Scholar 

  10. Ferguson SJ, Bryant JT, Ganz R, Ito K. An in vitro investigation of the acetabular labral seal in hip joint mechanics. J Biomech. 2003;36(2):171–8.

    Article  CAS  PubMed  Google Scholar 

  11. Crawford MJ, Dy CJ, Alexander JW, Thompson M, Schroder SJ, Vega CE, et al. The 2007 Frank Stinchfield Award. The biomechanics of the hip labrum and the stability of the hip. Clin Orthop Relat Res. 2007;465:16–22.

    PubMed  Google Scholar 

  12. McCarthy JC, Noble PC, Schuck MR, Wright J, Lee J. The watershed labral lesion: its relationship to early arthritis of the hip. J Arthroplasty. 2001;16(8 Suppl 1):81–7.

    Article  CAS  PubMed  Google Scholar 

  13. Ferguson SJS, Bryant JTJ, Ganz RR, Ito KK. The acetabular labrum seal: a poroelastic finite element model. Clin Biomech (Bristol, Avon). 2000;15(6):463–8.

    Article  CAS  Google Scholar 

  14. Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005;87(7):1012–8.

    Article  CAS  PubMed  Google Scholar 

  15. Potter HG, Schachar J. High resolution noncontrast MRI of the hip. J Magn Reson Imaging. 2010;31(2):268–78.

    Article  PubMed  Google Scholar 

  16. Byrd JWT. Diagnostic accuracy of clinical assessment, magnetic resonance imaging, magnetic resonance arthrography, and intra-articular injection in hip arthroscopy patients. Am J Sports Med. 2004;32(7):1668–74.

    Article  PubMed  Google Scholar 

  17. Zlatkin MB, Pevsner D, Sanders TG, Hancock CR, Ceballos CE, Herrera MF. Acetabular labral tears and cartilage lesions of the hip: indirect MR arthrographic correlation with arthroscopy—a preliminary study. AJR Am J Roentgenol. 2010;194(3):709–14.

    Article  PubMed  Google Scholar 

  18. Mintz DN, Hooper T, Connell D, Buly R, Padgett DE, Potter HG. Magnetic resonance imaging of the hip: detection of labral and chondral abnormalities using noncontrast imaging. Arthroscopy. 2005;21(4):385–93.

    Article  PubMed  Google Scholar 

  19. Rakhra KS, Lattanzio PJ, Cárdenas-Blanco A, Cameron IG, Beaule PE. Can T1-rho MRI detect acetabular cartilage degeneration in femoroacetabular impingement? A pilot study. J Bone Joint Surg Br. 2012;94(9):1187–92.

    Article  CAS  PubMed  Google Scholar 

  20. Blankenbaker DG, Smet AA, Keene JS, Fine JP. Classification and localization of acetabular labral tears. Skeletal Radiol. 2007;36(5):391–7.

    Article  CAS  PubMed  Google Scholar 

  21. Gold SL, Burge AJ, Potter HG. MRI of hip cartilage: joint morphology, structure, and composition. Clin Orthop Relat Res. 2012;470(12):3321–31.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Braly BA, Palmer IJ, Beall DP, Kelly B. The function of the hip capsular ligaments: a quantitative report. Arthroscopy. 2008;24(2):188–95.

    Article  PubMed  Google Scholar 

  23. Leunig M, Beaulé PE, Ganz R. The concept of femoroacetabular impingement: current status and future perspectives. Clin Orthop Relat Res. 2008;467(3):616–22.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Pfirrmann CWA, Mengiardi B, Dora C, Kalberer F, Zanetti M, Hodler J. Cam and pincer femoroacetabular impingement: characteristic MR arthrographic findings in 50 patients. Radiology. 2006;240(3):778–85.

    Article  PubMed  Google Scholar 

  25. Haene RAR, Bradley MM, Villar RNR. Hip dysplasia and the torn acetabular labrum: an inexact relationship. J Bone Joint Surg Br. 2007;89(10):1289–92.

    Article  CAS  PubMed  Google Scholar 

  26. Petersilge CA. Chronic adult hip pain: MR arthrography of the hip1. Radiographics. 2000;20 Suppl 1:S43–52.

    Article  PubMed  Google Scholar 

  27. Philippon MJM. The role of arthroscopic thermal capsulorrhaphy in the hip. Clin Sports Med. 2001;20(4):817–29.

    Article  CAS  PubMed  Google Scholar 

  28. Lage LA, Patel JV, Villar RN. The acetabular labral tear: an arthroscopic classification. Arthroscopy. 1996;12(3):269–72.

    Article  CAS  PubMed  Google Scholar 

  29. Register B, Pennock AT, Ho CP, Strickland CD, Lawand A, Philippon MJ. Prevalence of abnormal hip findings in asymptomatic participants: a prospective, blinded study. Am J Sports Med. 2012;40(12):2720–4.

    Article  PubMed  Google Scholar 

  30. Magee T, Hinson G. Association of paralabral cysts with acetabular disorders. AJR Am J Roentgenol. 2000;174(5):1381–4.

    Article  CAS  PubMed  Google Scholar 

  31. Pfirrmann CWA, Duc SR, Zanetti M, Dora C, Hodler J. MR arthrography of acetabular cartilage delamination in femoroacetabular cam impingement 1. Radiology. 2008;249(1):236–41.

    Article  PubMed  Google Scholar 

  32. Blankenbaker DG, De Smet AA, Keene JS. MR arthrographic appearance of the postoperative acetabular labrum in patients with suspected recurrent labral tears. AJR Am J Roentgenol. 2011;197(6):W1118–22.

    Article  PubMed  Google Scholar 

  33. Weidner J, Büchler L, Beck M. Hip capsule dimensions in patients with femoroacetabular impingement: a pilot study. Clin Orthop Relat Res. 2012;470(12):3306–12.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Wagner FV, Negrão JR, Campos J, Ward SR, Haghighi P, Trudell DJ, et al. Capsular ligaments of the hip: anatomic, histologic, and positional study in cadaveric specimens with MR arthrography. Radiology. 2012;263(1):189–98.

    Article  PubMed  Google Scholar 

  35. Gojda J, Bartoníček J. The retinacula of Weitbrecht in the adult hip. Surg Radiol Anat. 2012;34(1):31–8.

    Article  PubMed  Google Scholar 

  36. Blankenbaker DG, Davis KW, De Smet AA, Keene JS. MRI appearance of the pectinofoveal fold. AJR Am J Roentgenol. 2009;192(1):93–5.

    Article  PubMed  Google Scholar 

  37. Fu Z, Peng M, Peng Q. Anatomical study of the synovial plicae of the hip joint. Clin Anat. 1997;10(4):235–8.

    Article  CAS  PubMed  Google Scholar 

  38. Bencardino JT, Beltran J. MR imaging of the glenohumeral ligaments. Radiol Clin North Am. 2006;44(4):489–502.

    Article  PubMed  Google Scholar 

  39. Katz LD, Haims A, Medvecky M, McCallum J. Symptomatic hip plica: MR arthrographic and arthroscopic correlation. Skeletal Radiol. 2010;39(12):1255–8.

    Article  PubMed  Google Scholar 

  40. Mei-Dan O, McConkey MO, Brick M. Catastrophic failure of hip arthroscopy due to iatrogenic instability: can partial division of the ligamentum teres and iliofemoral ligament cause subluxation? Arthroscopy. 2012;28(3):440–5.

    Article  PubMed  Google Scholar 

  41. Moorman CT, Warren RF, Hershman EB, Crowe JF, Potter HG, Barnes R, et al. Traumatic posterior hip subluxation in American football. J Bone Joint Surg Am. 2003;85-A(7):1190–6.

    Article  PubMed  Google Scholar 

  42. Rao J, Zhou YX, Villar RN. Injury to the ligamentum teres. Mechanism, findings, and results of treatment. Clin Sports Med. 2001;20(4):791.

    Article  CAS  PubMed  Google Scholar 

  43. Cerezal L, Arnaiz J, Canga A, Piedra T, Altónaga JR, Munafo R, et al. Emerging topics on the hip: ligamentum teres and hip microinstability. Eur J Radiol. 2012;81(12):3745–54.

    Article  PubMed  Google Scholar 

  44. Gray AJ, Villar RN. The ligamentum teres of the hip: an arthroscopic classification of its pathology. Arthroscopy. 1997;13(5):575–8.

    Article  CAS  PubMed  Google Scholar 

  45. Byrd JWT, Jones KS. Adhesive capsulitis of the hip. Arthroscopy. 2006;22(1):89–94.

    Article  PubMed  Google Scholar 

  46. Griffiths HJ, Utz R, Burke J, Bonfiglio T. Adhesive capsulitis of the hip and ankle. AJR Am J Roentgenol. 1985;144(1):101–5.

    Article  CAS  PubMed  Google Scholar 

  47. Sofka CM, Ciavarra GA, Hannafin JA, Cordasco FA, Potter HG. Magnetic resonance imaging of adhesive capsulitis: correlation with clinical staging. HSS J. 2008;4(2):164–9.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Tehranzadeh J, Ashikyan O, Dascalos J. Magnetic resonance imaging in early detection of rheumatoid arthritis. Semin Musculoskelet Radiol. 2003;7(2):79–94.

    Article  PubMed  Google Scholar 

  49. Karchevsky M, Schweitzer ME, Morrison WB, Parellada JA. MRI findings of septic arthritis and associated osteomyelitis in adults. AJR Am J Roentgenol. 2004;182(1):119–22.

    Article  PubMed  Google Scholar 

  50. Plodkowski AJ, Hayter CL, Miller TT, Nguyen JT, Potter HG. Lamellated hyperintense synovitis: potential MR imaging sign of an infected knee arthroplasty. Radiology. 2013;66(1):256–60.

    Article  Google Scholar 

  51. Tyler WKW, Vidal AFA, Williams RJR, Healey JHJ. Pigmented villonodular synovitis. J Am Acad Orthop Surg. 2006;14(6):376–85.

    Article  PubMed  Google Scholar 

  52. Dorwart RH, Genant HK, Johnston WH, Morris JM. Pigmented villonodular synovitis of synovial joints: clinical, pathologic, and radiologic features. AJR Am J Roentgenol. 1984;143(4):877–85.

    Article  CAS  PubMed  Google Scholar 

  53. Murphey MD, Rhee JH, Lewis RB, Fanburg-Smith JC, Flemming DJ, Walker EA. From the archives of the AFIP@;DELIM@;continuing medical education: pigmented villonodular synovitis: radiologic-pathologic correlation1. Radiographics. 2008;28(5):1493–518.

    Article  PubMed  Google Scholar 

  54. Kramer J, Recht M, Deely DM, Schweitzer M, Pathria MN, Gentili A, et al. MR appearance of idiopathic synovial osteochondromatosis. J Comput Assist Tomogr. 1993;17(5):772–6.

    Article  CAS  PubMed  Google Scholar 

  55. Murphey MD, Vidal JA, Fanburg-Smith JC, Gajewski DA. Imaging of synovial chondromatosis with radiologic-pathologic correlation. Radiographics. 2007;27(5):1465–88.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Magnetic Resonance Imaging Division, Department of Radiology, Hospital for Special Surgery, 535 E. 70th St., New York, NY, 10021, USA

    Brett Lurie BSc(Med), MBBS(Hons1), Stephanie L. Gold BA & Hollis G. Potter MD

  2. Department of Radiology, Weill Medical College of Cornell University, New York, NY, USA

    Hollis G. Potter MD

Authors
  1. Brett Lurie BSc(Med), MBBS(Hons1)
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  2. Stephanie L. Gold BA
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  3. Hollis G. Potter MD
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Corresponding author

Correspondence to Hollis G. Potter MD .

Editor information

Editors and Affiliations

  1. Orthopedic Surgery, Hip Joint Arthroplasty, Hip Arthroscopy Massachusetts General Hospital, Boston, Massachusetts, USA

    Joseph C. McCarthy

  2. Institute of Orthopedic Research and Education, Houston, Texas, USA

    Philip C. Noble

  3. Consultant Orthopedic Surgeon Orthopedics, The Villar Bajwa Practice, Spire Cambridge Lea Hospital, Cambridge, United Kingdom

    Richard N. Villar

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Lurie, B., Gold, S.L., Potter, H.G. (2017). Magnetic Resonance Imaging of the Hip Labrum, Capsule, and Synovium. In: McCarthy, J., Noble, P., Villar, R. (eds) Hip Joint Restoration. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0694-5_22

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  • DOI: https://doi.org/10.1007/978-1-4614-0694-5_22

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