Hip pain in adults: MR imaging appearance of common causes

Abstract

To determine the exact origin of hip pain can be challenging. Symptoms apparently originating from the hip may arise from the pelvis, the sacroiliac joint, the lumbar spine, periarticular structures such as muscles and bursae, or from unexpected sites such as the abdominal wall, the genitourinary tract, or the retroperitoneal space. This article reviews the differential diagnosis of hip pain arising from the hip and surrounding structures and the role of different imaging methods with emphasis on magnetic resonance imaging where most recent advances have occurred.

MR Evaluation of Non-Traumatic Hip Pain

“…The diagnostic findings for stress fractures for MRI included linear hypointensity in femoral neck (on all sequences) with surrounding marrow edema. The present study correlated with observations made by Sankey RA et al [15] , Mengiardi et al [16] ,Fang C and Teh J [6] in their studies. Newberg AH and Newman JS [17] in their study advocate MR as initial imaging modality after initial radiography for detecting occult fractures.…”

“…Degenerative disc disease was identified on sagittal MR images and the study was extended to include the lumbar spine. Mengiardi B et al [16] in their study described various conditions causing hip arising from the hip and from surrounding structures. According to the author hip pain may arise from the pelvis, sacroiliac joint, lumbar spine and periarticular structures.…”

Postpartum bilateral transient osteoporosis of the hip: MR imaging findings in three cases

“…femoral head or extending to the neck and intertrochanteric region, accompanied by a variable degree of joint effusion, are the findings suggestive of TOH [1,[5][6][7][8]. The pattern of bone marrow oedema is nonspecific, as it implies a wide range of entities such as transient osteoporosis or transient bone marrow edema syndrome, epiphyseal stress fracture, osteomyelitis, neoplasm, osteonecrosis and degenerative arthritis [2,5,7,9,11].…”

“…Transient osteoporosis of the hip (TOH) in pregnancy is an idiopathic, self-limiting disorder clinically characterised by sudden onset of hip pain without any history of systemic disorders or traumatic injuries [1,2]. TOH in women has been associated with pregnancy in the third trimester of pregnancy.…”

“…L'osteoporosi transitoria dell'anca in gravidanza rappresenta un disordine autolimitante idiopatico, caratterizzato clinicamente da improvviso dolore all'anca senza alcuna storia pregressa di malattie sistemiche o traumi locali [1,2]. L'osteoporosi transitoria dell'anca nelle donne è stata associata con la gravidanza nel corso del terzo trimestre.…”