Imaging of neuropathies about the hip

Martinoli, Carlo; Miguel-Pérez, Maribel; Padua, Luca; Gandolfo, Nicola; Zicca, Anna; Tagliafico, Alberto

doi:10.1016/j.ejrad.2011.04.034

Cited by 76 publications

(48 citation statements)

References 47 publications

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“…The perineal nerve communicates with the homonymous branch of the posterior femoral cutaneous nerve, which accompanies the internal pudendal artery along the ramus of the ischium and inferior pubic ramus and runs between the superior and inferior layers of the urogenital diaphragm, where it pierces the inferior layer of the diaphragm, courses anteriorly along the dorsum of the penis (with the respective dorsal artery), and terminates in the glans penis. In women, the perineal nerve is very small (22,23). On axial T1-weighted and fat-suppressed T2-weighted MR neurographic images, the pudendal nerve is easily seen between the sacrotuberous and sacrospinous ligaments at the level of the ischial spine and in the pudendal canal.…”

Section: Pudendal Plexusmentioning

confidence: 94%

High-Resolution 3-T MR Neurography of the Lumbosacral Plexus

Soldatos¹,

Andreisek²,

Thawait³

et al. 2013

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Section: Pudendal Plexusmentioning

confidence: 94%

High-Resolution 3-T MR Neurography of the Lumbosacral Plexus

Soldatos¹,

Andreisek²,

Thawait³

et al. 2013

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137

151

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“…53 Imaging findings of neuropathy include a focal increase in T2-weighted signal intensity with increased cross-sectional area at MRI, or increased cross-sectional area with attenuated echo of the nerve with US imaging. 54,55 Often, secondary signs of neuropathy, such as segmental denervation, including edema or fatty degeneration, are the only visible imaging abnormalities. 54,55 Sciatic and pudendal neuropathy may refer pain to the posterior hip.…”

Section: Femoroacetabular Joint Derangement (Ie Osteoarthritismentioning

confidence: 99%

“…54,55 Often, secondary signs of neuropathy, such as segmental denervation, including edema or fatty degeneration, are the only visible imaging abnormalities. 54,55 Sciatic and pudendal neuropathy may refer pain to the posterior hip. Sciatic neuropathy is a rare complication of total hip arthroplasty.…”

Section: Femoroacetabular Joint Derangement (Ie Osteoarthritismentioning

confidence: 99%

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Battaglia

D’Angelo

Kettner

2016

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to present a narrative review of the literature of musculoskeletal causes of adult hip pain, with special attention to history, physical examination, and diagnostic imaging. Methods: A narrative review of the English medical literature was performed by using the search terms "hip pain" AND "anterior," "lateral," and "posterior." Additionally, specific entities of hip pain or pain referral sources to the hip were searched for. We used the PubMed search engine through January 15, 2016. Results: Musculoskeletal sources of adult hip pain can be divided into posterior, lateral, and anterior categories. For posterior hip pain, select considerations include lumbar spine and femoroacetabular joint referral, sacroiliac joint pathology, piriformis syndrome, and proximal hamstring tendinopathy. Gluteal tendinopathy and iliotibial band thickening are the most common causes of lateral hip pain. Anterior hip pain is further divided into causes that are intra-articular (ie, labral tear, osteoarthritis, osteonecrosis) and extra-articular (ie, snapping hip and inguinal disruption [athletic pubalgia]). Entrapment neuropathies and myofascial pain should also be considered in each compartment. A limited number of historical features and physical examination tests for evaluation of adult hip pain are supported by the literature and are discussed in this article. Depending on the clinical differential, the gamut of diagnostic imaging modalities recommended for accurate diagnosis include plain film radiography, computed tomography, magnetic resonance imaging, skeletal scintigraphy, and ultrasonography. Conclusions: The evaluation of adult hip pain is challenging. Clinicians should consider posterior, lateral, and anterior sources of pain while keeping in mind that these may overlap. (J Chiropr Med 2016;15:281-293)

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“…Küçük çapı olması nedeniyle LFKS'yi, dallarını ve sinyal intensite değişikliklerini MRG'de görmek oldukça güçtür [7]. Ancak cilt ve cilt altı yağ dokusu mutlaka görüntü alanına dahil edilmelidir.…”

Section: Lateral Femoral Kutanöz Sinir (Lfks)unclassified

Kalca Eklemi Cevresi Yumusak Dokulari

Balcı¹,

Gezer²

2017

Trd Sem

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GirişKalça çevresi yumuşak dokuları, cilt, cilt altı yağ dokusu, fasyal planlar, kas, sinir ve vaskü-ler dokuları da içeren geniş bir anatomik böl-gedir. Manyetik rezonans görüntüleme (MRG) bu bölgenin patolojilerinin değerlendirilmesin-de en yüksek kontrast çözünürlüğü ile öncelikli tercih edilen yöntemdir. Ayrıca direkt radyografi, ultrasonografi (US) ve bilgisayarlı tomografi (BT) gerektiğinde kullanılabilen diğer görüntüleme yöntemleridir. Bu başlık altında, sıklıkla görülen patolojilerin radyolojik görün-tüleme bulgularının tartışılması hedeflenmiştir. Tuzak NöropatilerTuzak nöropatiler, karmaşık klinik bulguları nedeniyle tanı koymada güçlük yaşanan patolojilerdir. Periferik sinirlerin akut veya kronik hasarına sekonder ortaya çıkan ağrı ve fonksiyonel bozukluk ile karakterizedir. MRG, tuzak nöropatilerin tanısında kullanılan non-invaziv ve kullanıcıdan bağımsız görüntüleme yönte-midir. Nöral hasarlanmanın yeri ve altta yatan nedeni hakkında bilgi verir, cerrahiden fayda görebilecek hastaları belirlemeye yardımcı olur ve selektif sinir blokajı için yol göstericidir [1].Manyetik rezonans görüntüleme ile kalça ve pelvisin tuzak nöropatilerinin görüntüleme-sinde T1 ve T2A görüntüler kullanılmaktadır. İdeal görüntüleme planı sinir trasesine göre değişir ancak sıklıkla aksiyal kesitler yararlıdır. T2A görüntüler elde edilirken eko zamanı uzun seçilir. Görüntü alanındaki vasküler yapılardan gelen sinyalleri baskılamak amacıyla RF pulsunun olduğu "satürasyon" ve yağ sinyalini baskılamak amacıyla "yağ baskılama" teknikleri kullanılır. Ayrıca yağ baskılamalı "ağır T2" görüntüler sinyal intensite değişikliklerini belirginleştirir.Periferik sinirler veya sinir demetleri, T1A serilerde kas ile izointens, T2A serilerde izo-hafif hiperintens longitudinal yapılar şek-

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Imaging of neuropathies about the hip

Cited by 76 publications

References 47 publications

High-Resolution 3-T MR Neurography of the Lumbosacral Plexus

High-Resolution 3-T MR Neurography of the Lumbosacral Plexus

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Kalca Eklemi Cevresi Yumusak Dokulari

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