Title: MR Evaluation of Non-Traumatic Hip Pain
Authors: K Venkateshwar Reddy, Anu Kapoor
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.126
Abstract
Background: Hip pain is a common yet non-specific symptom that may result from a number of articular as well as extra articular conditions. Imaging plays an important role in evaluation of hip pain and MRI is often most valuable imaging method in evaluating these cases.
Methods: This prospective observational study was carried out at Image Hospital, Hyderabad over a period of one year. Patients with unilateral or bilateral non-traumatic hip pain were evaluated by plain radiographs and MRI. Plain radiographs and MRI findings were reviewed and the final diagnosis was suggested based on clinical, laboratory and imaging findings. Equivocal or nonspecific imaging findings were further confirmed by cytology /histopathology wherever indicated.
Results: A total of 85 cases of non-traumatic hip pain were evaluated. A wide spectrum of conditions including degenerative, ischemic, inflammatory/infective and neoplastic lesions were discovered as the cause of hip pain.
Conclusion: Hip pain can arise from a wide variety of conditions and MRI is a very useful modality in evaluation of these conditions.
Keywords: Hip, Pain, Imaging, Mri, Avascular Necrosis.
References
1. Manaster BJ. Adult chronic hip pain: radiographic evaluation. Radiographics. 2000 Oct;20: S3-S25.
2. Sadro C. Current concepts in magnetic resonance imaging of the adult hip and pelvis. Semin Roentgenol. 2000; 35(3): 231-48.
3. Khoury NJ, Birjawo GA, Chaaya M, Hourani MH. Use of limited MR protocol(coronal STIR) in the evaluation of patients with hip pain. Skeletal radiology. 2003; 32: 567-74.
4. Khurana B,Okanobo H, Ossiani M, Ledbetter S, Dulaimy KA, Sodickson A. Abbreviated MRI for patients presenting to the emergency department with hip pain. AJR; 2012 Jun; 198(6): W581-8.
5. Ragab Y,Emad Y, Abou-Zeid A. Bone marrow edema syndromes of the hip: MRI features in different hip disorders. Clin Rheumatol. 2008 Apr; 27(4): 475-82.
6. Fang C, Teh J. Imaging of the hip. British journal of radiology. 2002; 15: 205-16.
7. Glickstein MF, Burk DL, Schiebler ML,Cohen EK, Dalinka MK, Steinberg ME, et al. Avascular necrosis versus other diseases of the hip; Sensitivity of MR imaging. Radiology 1988; 109:213
8. Huang ZG, Zhang XZ, Wang W, Hong W, Ren A. Avascularnecrosis of the femoralhead: correlation of imaging and pathological findings; Zhonghua Yi Xue Za Zhi. 2010 Oct 26; 90(39): 2745-9.
9. Chevrot A, Drapé J, Godefroy D, Dupont A. Imaging of chronic hip pain in adults.J Radiol.2000 Mar; 81(3 Suppl): 392-408.
10. Choi AJ, Gold GE. Rheumatoid Arthritis and Tuberculous arthritis: Differentiating MRI features. AJR. 2009; 193(5): 1347-53.
11. Hong SH, Kim SM, Ahn JM, Chung HW, Shin MJ, Kang HS. Tuberculous versus pyogenic arthritis: MR imaging evaluation.Radiology.2001 Mar; 218: 848-53.
12. Midiri M, Filosto L, Lo Casto A, Masciocchi C. Magnetic resonance in the study of tubercular coxitis. Radiol Med. 1992 Jan-Feb; 83(1-2):38-42
13. King C. LI, Jay Higgs, Alex M. Aisen, Kenneth A Buckwalter, William Martel and W. Joseph McCune -MRI in osteoarthritis of the hip: gradations of severity.Magnetic Resonance Imaging, Vol. 6, pp. 229-236, 1988.
14. Horii M, Kubo T, Hirasawa T. Radial MRI of the hip with moderate osteoarthritis. The journal of bone and joint surgery, 2000 Apr: 82-b (3), 364-68
15. Sankey RA, Turner J, Lee J, Healy J, Gibbons CE. The use of MRI to detect occult fractures of the proximal femur: a study of 102 consecutive cases over a ten-year period. J Bone Joint Surg Br. 2009; 91(8): 1064-8
16. Mengiardi B, Pfirrmann WA, Hodler J.Hip pain in adults: MR imaging appearance of common causes. Eur Radiol; 2007, 17: 1746–62
17. Newman JS, Newberg AH. MRI of the painful hip in athletes. Clin Sports Med. 2006 Oct; 25(4): 613-33
18. Bos CF, Bloem JL, Bloem RM. Sequential magnetic resonance imaging in Perthes' disease. J Bone Joint Surg Br. 1991; 73(2): 219-24
19. Grimm J, Higer HP, Benning R, Meairs S. MRI of transient osteoporosis of the hip. Arch Orthop Trauma Surg. 1991; 110(2): 98-102.
20. Malizos KN, Zibis AH, Dailiana Z, Hantes M, Karachalios T, Karantanas AH. MR imaging findings in transient osteoporosis of the hip. Eur J Radiol. 2004 Jun; 50(3): 238-44.