Symptomatic hip plica: MR arthrographic and arthroscopic correlation.
Two cases of unilateral hip pain are reported in which MR arthrography demonstrated a prominent band medial to the ligamentum teres, running in the AP direction, consistent with a hip plica. Both patients underwent hip arthroscopy with resection of the band. No labral tear or additional intra-articular pathological features was identified in either case. Both patients became asymptomatic following surgery and have remained such. The pathology report demonstrated the specimens to be a synovial band with fibroconnective tissue. This is the first MR arthrographic report of the identification and resection of a symptomatic hip plica. The symptomatic plica may represent an alternative diagnosis for mechanical hip pain.
Katz
Lee D
LD
Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, CT 06510, USA. lee.katz@yale.edu
Haims
Andrew
A
Medvecky
Michael
M
McCallum
John
J
D000293:Adolescent; D018771:Arthralgia / Q000175:diagnosis* / Q000601:surgery*; D001182:Arthroscopy; D001265:Athletic Injuries / Q000175:diagnosis* / Q000601:surgery*; D001490:Basketball / Q000293:injuries*; D005260:Female; D025981:Hip Injuries / Q000175:diagnosis* / Q000601:surgery*; D006621:Hip Joint / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*
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