Radiographic and MR imaging of the athletic hip.
Imaging of the athletic hip has changed significantly over the past 10 years to address clinical concerns of intra-articular pathology and femoroacetabular impingement. Currently, high-resolution direct MR arthrography of the hip provides the best means for evaluating intra-articular pathology. However, radiography remains important for the diagnosis of subtle bony irregularities associated with femoroacetabular impingement. Therefore, a comprehensive imaging strategy requires conventional radiographs and MRI to evaluate intra- and extra-articular sources of pain. Because of newer surgical techniques, MR interpretations should provide description of labral tears and assessment of cartilage defects, as well as, capsule/iliofemoral ligament injury, femoroacetabular impingement, and tears of the ligamentum teres to aid preoperative planning and help provide prognostic information.
Armfield
Derek R
DR
Department of Radiology, University of Pittsburgh Medical Center, 200 Lothrop Street, Pittsburgh, PA 15213, USA. sportsmed.imaging@yahoo.com
Towers
Jeffrey D
JD
Robertson
Douglas D
DD
D000328:Adult; D001175:Arthrography / Q000379:methods; D001265:Athletic Injuries / Q000175:diagnosis* / Q000601:surgery; D002358:Cartilage, Articular / Q000293:injuries; D005471:Fluoroscopy / Q000379:methods; D050724:Fractures, Cartilage / Q000175:diagnosis; D015775:Fractures, Stress / Q000175:diagnosis; D006615:Hip / Q000000981:diagnostic imaging / Q000601:surgery; D006617:Hip Dislocation / Q000175:diagnosis; D006620:Hip Fractures / Q000175:diagnosis; D025981:Hip Injuries / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis; D008023:Ligaments, Articular / Q000293:injuries; D008279:Magnetic Resonance Imaging / Q000379:methods; D013178:Sports Medicine / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014463:Ultrasonography