Role of MRI in Early Detection of Non-Neoplastic Articular Causes of Hip Joint Disability in Adults

Abstract

ainful hip is a common problem in the absence of a known acute trauma, it can be a diagnostic problem as it can be attributed to many causes. The most common causes are avascular necrosis, transient osteoporosis, osteoarthritis, FAI or inflammatory causes. Conventional radiography is a good method in detection of bony abnormalities that responsible for hip pain including avascular necrosis, traumatic or neoplastic lesions. Nowadays, MRI examination is the method of choice used to evaluate the hip joint lesions due to its ability to demonstrate the bony and soft tissue abnormalities detected by conventional radiography and detect bone marrow edema, osteoarthritis, synovial abnormalities and labral tear. The aim of this study is to clarify the role of MRI in diagnosis of the etiology of hip pain in adults that causes hip joint disability and to compare between the accuracy of both conventional radiography and MRI in various abnormalities and conventional MRI and MR arthrography in FAI and labrum tear. This study was conducted on 96 symptomatic patients (55 males and 41 females with age ranged from 18 to 68 years) diagnosed clinically with hip joint disability due to certain hip pathology at Orthopedic and Physiotherapy Departments and referred to Radiodiagnosis Department of Ain shams University Hospitals.