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Magnetic Resonance Imaging of the Hip

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Abstract

The hip is a ball-and-socket joint comprised of four major bones plus several supporting soft tissue structures. Together these structures allow for multiaxial motion of the lower extremity while maintaining structural stability. Here we present an overview of current methods in hip imaging, focusing on evaluation by noncontrast magnetic resonance (MR) imaging and direct MR arthrography. Protocols and technical parameters for MR imaging of the hip are presented. Basic MR anatomy of the hip is reviewed, including normal arthrographic appearance of the intraarticular structures. Given that symptoms referable to the hip can be caused by disorders of both the hip itself or by abnormalities of other regional structures (Tibor and Sekiya, Arthroscopy 24:1407–21, 2008), both intra- and extraarticular pathologies are discussed, with emphasis on the range of possible imaging presentations. Finally, common pitfalls are illustrated, including those relevant to both noncontrast and arthrographic evaluation.

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References

  1. Tibor LM, Sekiya JK. Differential diagnosis of pain around the hip joint. Arthroscopy. 2008;24(12):1407–21.

    Article  PubMed  Google Scholar 

  2. Schmid MR, Notzli HP, Zanetti M, Wyss TF, Hodler J. Cartilage lesions in the hip: diagnostic effectiveness of MR arthrography. Radiology. 2003;226(2):382–6.

    Article  PubMed  Google Scholar 

  3. Freedman BA, Potter BK, Dinauer PA, Giuliani JR, Kuklo TR, Murphy KP. Prognostic value of magnetic resonance arthrography for Czerny stage II and III acetabular labral tears. Arthroscopy. 2006;22(7):742–7.

    Article  PubMed  Google Scholar 

  4. Llopis E, Fernandez E, Cerezal L. MR and CT arthrography of the hip. Semin Musculoskelet Radiol. 2012;16(1):42–56 [Review].

    Article  PubMed  Google Scholar 

  5. Featherstone T. Magnetic resonance imaging in the diagnosis of sacral stress fracture. Br J Sports Med. 1999;33(4):276–7 [Case Reports].

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Dinauer PA, Murphy KP, Carroll JF. Sublabral sulcus at the posteroinferior acetabulum: a potential pitfall in MR arthrography diagnosis of acetabular labral tears. AJR Am J Roentgenol. 2004;183(6):1745–53.

    Article  PubMed  Google Scholar 

  7. Studler U, Kalberer F, Leunig M, Zanetti M, Hodler J, Dora C, et al. MR arthrography of the hip: differentiation between an anterior sublabral recess as a normal variant and a labral tear. Radiology. 2008;249(3):947–54.

    Article  PubMed  Google Scholar 

  8. Czerny C, Hofmann S, Urban M, Tschauner C, Neuhold A, Pretterklieber M, et al. MR arthrography of the adult acetabular capsular-labral complex: correlation with surgery and anatomy. AJR Am J Roentgenol. 1999;173(2):345–9 [Comparative Study].

    Article  CAS  PubMed  Google Scholar 

  9. 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 

  10. DuBois DF, Omar IM. MR imaging of the hip: normal anatomic variants and imaging pitfalls. Magn Reson Imaging Clin N Am. 2010;18(4):663–74 [Review].

    Article  PubMed  Google Scholar 

  11. Chang CY, Huang AJ. MR imaging of normal hip anatomy. Magn Reson Imaging Clin N Am. 2013;21(1):1–19.

    Article  PubMed  Google Scholar 

  12. 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 

  13. Dietrich TJ, Suter A, Pfirrmann CW, Dora C, Fucentese SF, Zanetti M. Supraacetabular fossa (pseudodefect of acetabular cartilage): frequency at MR arthrography and comparison of findings at MR arthrography and arthroscopy. Radiology. 2012;263(2):484–91 [Comparative Study].

    Article  PubMed  Google Scholar 

  14. Keene GS, Villar RN. Arthroscopic anatomy of the hip: an in vivo study. Arthroscopy. 1994;10(4):392–9.

    Article  CAS  PubMed  Google Scholar 

  15. Wagner FV, Negrao 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 

  16. Chatha DS, Arora R. MR imaging of the normal hip. Magn Reson Imaging Clin N Am. 2005;13(4):605–15 [Review].

    Article  PubMed  Google Scholar 

  17. Hong RJ, Hughes TH, Gentili A, Chung CB. Magnetic resonance imaging of the hip. J Magn Reson Imaging. 2008;27(3):435–45 [Review].

    Article  PubMed  Google Scholar 

  18. Neumann G, Mendicuti AD, Zou KH, Minas T, Coblyn J, Winalski CS, et al. Prevalence of labral tears and cartilage loss in patients with mechanical symptoms of the hip: evaluation using MR arthrography. Osteoarthritis Cartilage. 2007;15(8):909–17.

    Article  CAS  PubMed  Google Scholar 

  19. 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 [Comparative Study].

    Article  PubMed  Google Scholar 

  20. Ziegert AJ, Blankenbaker DG, De Smet AA, Keene JS, Shinki K, Fine JP. Comparison of standard hip MR arthrographic imaging planes and sequences for detection of arthroscopically proven labral tear. AJR Am J Roentgenol. 2009;192(5):1397–400 [Comparative Study].

    Article  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  22. Toomayan GA, Holman WR, Major NM, Kozlowicz SM, Vail TP. Sensitivity of MR arthrography in the evaluation of acetabular labral tears. AJR Am J Roentgenol. 2006;186(2):449–53.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  24. Hughes TH, Sartoris DJ, Schweitzer ME, Resnick DL. Pigmented villonodular synovitis: MRI characteristics. Skeletal Radiol. 1995;24(1):7–12.

    Article  CAS  PubMed  Google Scholar 

  25. Cotten A, Flipo RM, Chastanet P, Desvigne-Noulet MC, Duquesnoy B, Delcambre B. Pigmented villonodular synovitis of the hip: review of radiographic features in 58 patients. Skeletal Radiol. 1995;24(1):1–6 [Multicenter Study].

    Article  CAS  PubMed  Google Scholar 

  26. Mitchell DG, Joseph PM, Fallon M, Hickey W, Kressel HY, Rao VM, et al. Chemical-shift MR imaging of the femoral head: an in vitro study of normal hips and hips with avascular necrosis. AJR Am J Roentgenol. 1987;148(6):1159–64.

    Article  CAS  PubMed  Google Scholar 

  27. Mitchell DG, Rao VM, Dalinka MK, Spritzer CE, Alavi A, Steinberg ME, et al. Femoral head avascular necrosis: correlation of MR imaging, radiographic staging, radionuclide imaging, and clinical findings. Radiology. 1987;162(3):709–15 [Comparative Study].

    Article  CAS  PubMed  Google Scholar 

  28. Lafforgue P, Dahan E, Chagnaud C, Schiano A, Kasbarian M, Acquaviva PC. Early-stage avascular necrosis of the femoral head: MR imaging for prognosis in 31 cases with at least 2 years of follow-up. Radiology. 1993;187(1):199–204.

    Article  CAS  PubMed  Google Scholar 

  29. Vande Berg BC, Malghem JJ, Lecouvet FE, Jamart J, Maldague BE. Idiopathic bone marrow edema lesions of the femoral head: predictive value of MR imaging findings. Radiology. 1999;212(2):527–35.

    Article  CAS  PubMed  Google Scholar 

  30. Hayes CW, Conway WF, Daniel WW. MR imaging of bone marrow edema pattern: transient osteoporosis, transient bone marrow edema syndrome, or osteonecrosis. Radiographics. 1993;13(5):1001–11. [Review]; Discussion 12.

    Article  CAS  PubMed  Google Scholar 

  31. Guerra JJ, Steinberg ME. Distinguishing transient osteoporosis from avascular necrosis of the hip. J Bone Joint Surg Am. 1995;77(4):616–24 [Review].

    Article  CAS  PubMed  Google Scholar 

  32. Bencardino JT, Palmer WE. Imaging of hip disorders in athletes. Radiol Clin North Am. 2002;40(2):267–87. [Review]; vi–vii.

    Article  PubMed  Google Scholar 

  33. Petersilge CA. From the RSNA Refresher Courses. Radiological Society of North America. Chronic adult hip pain: MR arthrography of the hip. Radiographics. 2000;20 Spec No:S43–52.

    Google Scholar 

  34. Campe CB, Palmer WE. MR imaging of metal-on-metal hip prostheses. Magn Reson Imaging Clin N Am. 2013;21(1):155–68.

    Article  PubMed  Google Scholar 

  35. Petchprapa CN, Bencardino JT. Tendon injuries of the hip. Magn Reson Imaging Clin N Am. 2013;21(1):75–96.

    Article  PubMed  Google Scholar 

  36. Cvitanic O, Henzie G, Skezas N, Lyons J, Minter J. MRI diagnosis of tears of the hip abductor tendons (gluteus medius and gluteus minimus). AJR Am J Roentgenol. 2004;182(1):137–43 [Evaluation Studies].

    Article  PubMed  Google Scholar 

  37. Khoury NJ, Birjawi GA, Chaaya M, Hourani MH. Use of limited MR protocol (coronal STIR) in the evaluation of patients with hip pain. Skeletal Radiol. 2003;32(10):567–74 [Comparative Study Evaluation Studies].

    Article  CAS  PubMed  Google Scholar 

  38. Taneja AK, Bredella MA, Torriani M. Ischiofemoral impingement. Magn Reson Imaging Clin N Am. 2013;21(1):65–73.

    Article  PubMed  Google Scholar 

  39. Bredella MA, Ulbrich EJ, Stoller DW, Anderson SE. Femoroacetabular impingement. Magn Reson Imaging Clin N Am. 2013;21(1):45–64.

    Article  PubMed  Google Scholar 

  40. Torriani M, Souto SC, Thomas BJ, Ouellette H, Bredella MA. Ischiofemoral impingement syndrome: an entity with hip pain and abnormalities of the quadratus femoris muscle. AJR Am J Roentgenol. 2009;193(1):186–90.

    Article  PubMed  Google Scholar 

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Correspondence to William E. Palmer MD .

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Sampath, S.C., Sampath, S.C., Palmer, W.E. (2017). Magnetic Resonance Imaging of the Hip. 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_24

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  • DOI: https://doi.org/10.1007/978-1-4614-0694-5_24

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