Application of dGEMRIC to the Study of Hip Disorders

Chapter

Abstract

The dGEMRIC technique has been applied extensively to the study of hip disorders. It has shown to correlate with symptoms and severity of dysplasia in symptomatic acetabular dysplasia. It is useful in selecting appropriate hips for pelvic osteotomy treatment for hip dysplasia. The pattern of cartilage damage in dysplasia and impingement hips is different, where impingement seems to cause more focal damage, perhaps suggesting a variable role of direct mechanical damage vs. mechanically induced catabolism of cartilage in the two conditions. dGEMRIC appears to show cartilage damage before macroscopic change suggesting this technique may show recovery of cartilage in vivo with appropriate disease modifying treatment.

Keywords

Osteoarthritis Gadolinium Osteonecrosis Glycosaminoglycan 

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Copyright information

© Springer Science+Business Media, LLC 2014

Authors and Affiliations

  1. 1.Department of Orthopedic SurgeryBoston Children’s HospitalBostonUSA
  2. 2.Department of Orthopedic SurgeryBoston Children’s HospitalBostonUSA

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