Sensitivity of Magnetic Resonance Imaging in Evaluation of Patients with Hip Joint Pain

Abstract

Introduction Modern magnetic resonance imaging (MRI) has a great sensitivity in detecting hip joint abnormalities, and because of its property of excellent visualization of soft tissue and nonionizing radiation, it is the modality of choice these days in not only adults but also pediatric musculoskeletal pathologies. Materials and Methods It was a prospective study performed in a tertiary care institute from 2016 to 2018. Total 64 cases with hip pathology attending orthopedics OPD (out patient department) and consenting to participate were included in the study. All the consenting participants were subjected to MRI scan. Results The most common pathology detected was avascular necrosis consisting of 28 cases. The next most common abnormality detected was infective arthritis, found in seven cases. Three patients were diagnosed with metastasis. Conclusion MRI is the diagnostic modality of choice for pathologies of hip for which radiographic and clinical findings are inconclusive. With MRI, one can stage the pathology to prognosticate and influence therapeutic decisions. AbstractKeywords ► hip pain ► magnetic resonance imaging ► pathologies ► avascular necrosis Int J Recent Surg Med Sci 2018;4:71-75