MRI of lower extremity impingement and friction syndromes in children

Aydıngöz, Üstün; Özdemi̇r, Zeynep; Güneş, Altan; Ergen, Fatma Bilge

doi:10.5152/dir.2016.16143

Cited by 10 publications

(5 citation statements)

References 37 publications

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“…Second most common extraarticular pathology was muscle edema, most often in the quadratus femoris muscle. Edema in the quadratus femoris muscle is frequently associated with ischiofemoral impingement syndrome [ 25 ], which may cause anterior or posterior hip pain [ 26 ]. This pathology is frequently seen in elderly patients but has also been described in children down to four years of age, often in association with coxa valga formation [ 27 ] or torsional abnormalities of the femur.…”

Section: Discussionmentioning

confidence: 99%

Value of MR arthrography for evaluation of children and adolescents with clinically suspected intraarticular cause of hip pain

Schmitt,

Pfirrmann,

Buck

et al. 2024

Skeletal Radiol

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Purpose To evaluate the distribution of intra- and extraarticular MRI findings in children and adolescents with clinically suspected intraarticular cause of hip pain in order to assess the need for additional intraarticular contrast administration. Material and methods Database was searched over a period of 34 months retrospectively for consecutive hip MR arthrography in young patients (8–17 years) with suspected intraarticular cause of hip or groin pain. Exclusion criteria were prior hip surgery, follow-up examination due to known intraarticular pathology, incomplete examination, qualitatively non-diagnostic examinations, and missing informed consent. Reports of fellowship-trained MSK radiologists were searched for intraarticular versus extraarticular findings explaining hip or groin pain. Results Seventy patients (68% female; median age: 14.5 years; range:10.8–16.9 years) were analyzed. No reason for pain was found in 30 (42.9%) hips, extraarticular reasons in 20 (28.6%) cases, intraarticular in 14 (20.0%), and both (intra- and extraarticular) in 6 (8.6%) hips. Most common extraarticular reasons were apophysitis (14.3%), other bony stress reactions (12.9%), intramuscular edema (7%), tendinitis (5.7%), and trochanteric bursitis (4.3%). Labral pathology was the most common intraarticular finding (overall:34.3%; partial tear:15.7%, complete tear:15.7%), most frequent at the anterosuperior position (81.8%). Cartilage defects (1.4%), intraarticular neoplasia (1.4%), and tear of the femoral head ligament (2.8%) were rarely found. Synovitis and loose bodies were not observed. Cam-(37.1%) and pincer-configurations (47.1%) were common while hip dysplasia was rare (5.7%). Conclusion MRI in children and adolescents with hip pain should be done primarily without intraarticular contrast administration since most cases show an extraarticular pain reason or no diagnosis detectable with MRI.

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Section: Discussionmentioning

confidence: 99%

Value of MR arthrography for evaluation of children and adolescents with clinically suspected intraarticular cause of hip pain

Schmitt,

Pfirrmann,

Buck

et al. 2024

Skeletal Radiol

View full text Add to dashboard Cite

show abstract

“…Ancak bu konuda daha ileri araştırmaların yapılması gerekmektedir [7]. Trokanter minörde retroversiyon varsa muhtemelen tendondaki gerilmeye bağlı bulgular ortaya çıkabilir [11]. Tendonun kalınlığında artma, konturunda düzensizleşme, tendon veya kapsüler ödemin tanıda önemli olmadığı bildirilmektedir [4].…”

Section: İliopsoas Sıkışma Sendromuunclassified

“…Femur boynu ön kesimine mekanik stres olursa buna "iliak spine sıkışma", "AİİS sıkışma" veya "subspine sıkışma" sendromu denir [4,13]. Asetabular labrum, rektus femoris tendonu ve distal femur boynu fleksiyon sırasında sıkışabilir [11,14].…”

Section: Subspine Sıkışma Sendromuunclassified

“…MRG veya MR-artrografide labral yırtıklar, paralabral kistler ve femur boynunda klasik olarak normal lokalizasyonun daha distalinde, rektus femoris tendonunun bitişiğinde herniasyon pitleri olabilir. Rektus femoris tendonunda veya peritendinöz yumuşak dokuda sinyal değişiklikleri görülür [4,11].…”

Section: Subspine Sıkışma Sendromuunclassified

“…MRG'de, lateral femoral epikondil ve İTB arasındaki yumuşak dokuda ödem, lateral sinovyal resesden lateral femoral epikondil posterioruna uzanan sıvı ve İTB'de kalınlaşma görülür (Resim 11 A, B) [11,35].…”

Section: İliotibial Bant (İtb) Sendromuunclassified

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