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BACKGROUND Magnetic resonance imaging is an imaging modality that provides excellent soft tissue resolution, and with its multiplanar capability provides an excellent anatomical and biomechanical details and information. Hip joint with its weight bearing capability is an important synovial joint in human body. Painful hip is one of the important and common clinical presentations with wide variety of causes. The present study is undertaken to describe the various aetiologies and MRI features in patients with painful hip. MATERIALS AND METHODS The study included 50 patients with complaints of hip joint pain referred for MRI to the department of Radiodiagnosis, Katuri Medical College and Hospital, Chinakondrupadu, Guntur over a period of 21 months between January 2016 to October 2017. RESULTS A Total of 50 patients were included in the study. 74% were males with 20% belonging to age group of 21-30 years and 51-60 years of age. Avascular necrosis was the most common cause of the painful hip. CONCLUSION MRI provides excellent soft tissue details including detection of joint effusion, cartilage evaluation, and helps in accurate diagnosis and management of patients with painful hip.
BACKGROUND Magnetic resonance imaging is an imaging modality that provides excellent soft tissue resolution, and with its multiplanar capability provides an excellent anatomical and biomechanical details and information. Hip joint with its weight bearing capability is an important synovial joint in human body. Painful hip is one of the important and common clinical presentations with wide variety of causes. The present study is undertaken to describe the various aetiologies and MRI features in patients with painful hip. MATERIALS AND METHODS The study included 50 patients with complaints of hip joint pain referred for MRI to the department of Radiodiagnosis, Katuri Medical College and Hospital, Chinakondrupadu, Guntur over a period of 21 months between January 2016 to October 2017. RESULTS A Total of 50 patients were included in the study. 74% were males with 20% belonging to age group of 21-30 years and 51-60 years of age. Avascular necrosis was the most common cause of the painful hip. CONCLUSION MRI provides excellent soft tissue details including detection of joint effusion, cartilage evaluation, and helps in accurate diagnosis and management of patients with painful hip.
Avascular Necrosis refers to the bone death in epiphyseal or subarticular location secondary to interruption of blood supply. MRI has become the most sensitive, specic and widely used diagnostic imaging modality for evaluation of AVN of femoral head. The aim was to study the stages of presentation of Avascular Necrosis of femoral head on Magnetic Resonance Imaging in tertiary care centre .It is a Hospital record based descriptive study carried out at the Department of Radio-diagnosis, those patients which showed signs for avascular necrosis of femoral head over a period of three years were included in the study. Staging of Avascular Necrosis of femoral head was done as per Ficat and Arlet classication and distribution was done on the basis of Age, Gender and Laterality. Out of 129 patients with suspected AVN, 68 patients showed features of AVN of femoral head on MRI .It was found that males were commonly affected with mean age group between 31-40 years. Most of the patients had bilateral involvement. It was found that most of the patients presented during stage III of the disease. It was also observed that Coronal sequence of T1w image was useful in diagnosing most cases of AVN and hence can be used as a rapid protocol in diagnosing AVN.
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