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Year : 2018  |  Volume : 31  |  Issue : 2  |  Page : 514-519

Role of magnetic resonance imaging in the assessment of chronic hip pain in adults

1 Department of Radiology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Radiology, Shebin El-Kom Teaching Hospital, Menoufia, Egypt

Correspondence Address:
Dalia Abd El Raouf El Zefzaf
Department of Radiology, Shebin El-Kom Teaching Hospital, Menoufia, Shebin El-Kom, Menoufia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_682_16

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Objectives This study aimed to evaluate the diagnostic value of MRI in the assessment of painful hip joints in adults. Background Hip pain has different etiologies. MRI is the method of choice for characterizing various disorders and for assessing the full extent of osseous, chondral, and soft-tissue abnormalities of the hip joint. Patient and methods This retrospective study was conducted on 35 patients with painful hip joints. The following MR sequences were performed on all patients: Coronal T1, T2, and STIR-weighted images (WIs,) axial T1 and T2 WIs, axial T1 WI, and sagittal T1 WI after contrast injection in five patients. Patient history, local examination of the diseased hip, and laboratory investigations were performed. Results The male-to-female ratio was 20: 15, and their ages ranged from 15 to 75 years with a mean value of 45 years. The final MRI diagnoses in 35 patients were as follows: avascular necrosis in 10 (28.57%), transient synovitis in eight (22.86%), septic arthritis in four (11.43%), malignant neoplasm in four (11.43%), osteoarthritis in two (5.71%), bone marrow contusion in three (8.57%), migratory osteoporosis in one (2.86%), bursitis in one (2.86%), and stress fractures in two (5.71%) patients. Conclusion MRI of the hip joint is a safe, reliable, diagnostic, and accurate imaging modality for the assessment of hip pain and is sufficient for delineation of different hip joint pathologies.

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