Magnetic Resonance Arthrography versus Arthroscopy in the Evaluation of Articular Hip Pathology

Keeney, James A.; Peelle, Michael; Jackson, Jennifer; Rubin, David A.; Maloney, William J.; Clohisy, John C.

doi:10.1097/01.blo.0000150125.34906.7d

Cited by 223 publications

(146 citation statements)

References 26 publications

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“…Review of the literature comparing contrast and noncontrast MRI demonstrates a range of accuracy for both labrum and cartilage. With hip arthroscopy as the standard, Keeney et al assessed over 100 consecutive patients with MR arthrography; MR arthrography was noted to have a sensitivity of over 71% and an accuracy of 69% with respective to labral pathology (13). Articular cartilage assessment was less effective, with a sensitivity of 47% and accuracy of 67% (13).…”

Section: Cartilage and Labral Evaluationmentioning

confidence: 99%

“…With hip arthroscopy as the standard, Keeney et al assessed over 100 consecutive patients with MR arthrography; MR arthrography was noted to have a sensitivity of over 71% and an accuracy of 69% with respective to labral pathology (13). Articular cartilage assessment was less effective, with a sensitivity of 47% and accuracy of 67% (13). Other investigators have demonstrated increased cartilage lesion conspicuity using 3D double echo steady state MR arthrography compared with standardized T1-weighted spin echo MR arthrography; however, similar accuracy was encountered for both sequences using arthroscopy as the standard (14).…”

Section: Cartilage and Labral Evaluationmentioning

confidence: 99%

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High resolution noncontrast MRI of the hip

Potter

Schachar

2010

Magnetic Resonance Imaging

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The relatively thin cartilage of the hip joint, as well as its complex geometry, poses challenges for standardized, reproducible assessment of cartilage and the acetabular labrum. With appropriate pulse sequence parameters, however, accurate, reproducible assessment of cartilage and the labrum is feasible. More detailed evaluation of cartilage biochemistry may be obtained with techniques aimed at noninvasively evaluating the integrity of collagen and/or proteoglycan components in the articular cartilage. One of the benefits of noncontrast techniques lie in the ability to visualize the native synovium, and thereby detect the presence of synovial proliferative disorders, the clinical symptoms of which may mimic a labral tear or traumatic cartilage injury. Standard cartilage evaluation allows for the detection of surface delamination and osteoarthritis in the setting of femoroacetabular impingement, as well as subtle areas of subchondral collapse and secondary delamination of cartilage in the setting of osteonecrosis. This preserves the use of hip arthroscopy as a therapeutic rather than a diagnostic tool.

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Section: Cartilage and Labral Evaluationmentioning

confidence: 99%

Section: Cartilage and Labral Evaluationmentioning

confidence: 99%

High resolution noncontrast MRI of the hip

Potter

Schachar

2010

Magnetic Resonance Imaging

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“…Não foi possível realizar o cálculo de especificidade, pois não identificamos nenhum caso de falso-positivo (2)(3) .…”

Section: Discussionunclassified

“…Concluíram que, apesar de o exame apresentar valor preditivo positivo alto para essas lesões, tem sensibilidade limitada. O falso-negativo não exclui lesões intra-articulares (3) .…”

Section: Tabelaunclassified

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A ressonância magnética e a artrorressonância magnética na lesão labral e condral do quadril: comparação com achados na artroscopia

Contreras¹,

Brincas²,

Júnior³

et al. 2008

Rev. bras. ortop.

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Magnetic resonance imaging of the hip

Hong

Hughes

Gentili

et al. 2008

Magnetic Resonance Imaging

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Standard magnetic resonance imaging (MRI) as well as MR arthrography (MRA) have been important diagnostic tools to assess for a spectrum of clinical presentations related to the hip. MRA has allowed the radiologist to closely examine intracapsular structures such as the acetabular labrum. In this article, we provide a general review of soft tissue and osseous anatomy of hips, especially focusing on the MR appearances of the acetabular labrum and the osseous morphology of the greater trochanter and ischial tuberosity with their muscle and tendon attachments. In addition, current topics in recent literature will be discussed such as femoroacetabular impingement (FAI) and rotator cuff tears of the hip.

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Magnetic Resonance Arthrography versus Arthroscopy in the Evaluation of Articular Hip Pathology

Cited by 223 publications

References 26 publications

High resolution noncontrast MRI of the hip

High resolution noncontrast MRI of the hip

A ressonância magnética e a artrorressonância magnética na lesão labral e condral do quadril: comparação com achados na artroscopia

Magnetic resonance imaging of the hip

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