title: Symptomatic hip plica: MR arthrographic and arthroscopic correlation.
abstract: 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.
authors.affiliation: Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, CT 06510, USA. lee.katz@yale.edu
authors.forename: Lee D
authors.initials: LD
authors.lastname: Katz
authors.forename: Andrew
authors.initials: A
authors.lastname: Haims
authors.forename: Michael
authors.initials: M
authors.lastname: Medvecky
authors.forename: John
authors.initials: J
authors.lastname: McCallum
mesh_terms: 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*
references.citation: Clin Anat. 1997;10(4):235-8
references.pmid: 9213039
references.citation: Ann R Coll Surg Engl. 1979 Sep;61(5):357-61
references.pmid: 496227
references.citation: J Radiol. 1986 Oct;67(10):737-40
references.pmid: 3795180
references.citation: J Comput Assist Tomogr. 1998 Sep-Oct;22(5):814-8
references.pmid: 9754123
references.citation: AJR Am J Roentgenol. 2009 Jan;192(1):93-5
references.pmid: 19098185
references.citation: Arthroscopy. 1999 Mar;15(2):132-7
references.pmid: 10210068
references.citation: Radiographics. 2002 Jul-Aug;22(4):775-84
references.pmid: 12110709
references.citation: Clin Orthop Relat Res. 2003 Jun;(411):174-7
references.pmid: 12782873
references.citation: J Bone Joint Surg Am. 1980 Mar;62(2):221-5
references.pmid: 7358753