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A Systematic Approach to Magnetic Resonance Imaging Interpretation of Sports Medicine Injuries of the Hip

Lewis, Paul B., MD, MS1; Weber, Alexander E., MD2; Kuhns, Benjamin D., MD2; Nho, Shane J., MD, MS2

doi: 10.2106/JBJS.RVW.17.00204
Review Articles
Disclosures

  • * A systematic approach to interpretation of magnetic resonance imaging of the hip and pelvis can facilitate identifying imaging findings that correlate with the clinical history and physical examination.
  • * This systematic approach flows outside-to-inside. Images with a large field of view are used for internal (i.e., side-to-side) comparison of the pelvic musculature, bursae, abdominal wall, and pelvic bones as would be done during the interpretation of a pelvic radiograph. Images with a small field of view are then used for the inspection of bursae, bone, capsule, labrum, and articular cartilage.
  • * If a reasonable diagnosis is not found through a systematic approach to a hip magnetic resonance image, it is advised to further direct the search pattern by incorporating the clinical information or directing attention to visceral, gynecologic, or urologic pathology that can refer pain to the groin and mimic internal derangement of the hip.

1Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

2Hip Preservation Center, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois

E-mail address for P.B. Lewis: paul@lewismd.com

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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