Prevalence of labral tears and cartilage loss in patients with mechanical symptoms of the hip: evaluation using MR arthrography

Abstract

Labral tears and cartilage loss are common in patients with mechanical symptoms in the hip. Cartilage loss, labral tears and BME appear interrelated and may represent important risk factors that may affect the development and progression of osteoarthritis in the hip joint.

Validation of scoring hip osteoarthritis with MRI (SHOMRI) scores using hip arthroscopy as a standard of reference

“…Based on our findings, SHOMRI scoring of the hip is a precise and reliable method to evaluate hip cartilage and labral abnormalities. MRI has been shown to be highly sensitive and specific for characterization and assessment of musculoskeletal disorders [19][20][21][22][23] and especially in the setting of joint pathologies several MR-based scoring methods have been introduced [11,19,[24][25][26][27][28], all with the common purpose to provide practice guidelines in describing and quantifying radiologic findings and to minimize subjectivity. Moreover, the accurate and systematic classification of MRI using a standardized terminology of reporting creates reproducibility that is ideally reflected in high intra-and interrater reliability of each method.…”

“…So far, only a few studies have focused on the evaluation of MR-based hip scoring methods [24][25][26]; moreover, only one of these studies used the complete study cohort for correlation with surgical reports [26]. Overall, these studies showed a good performance evaluation hip MRI with surgical correlation.…”

“…Overall, these studies showed a good performance evaluation hip MRI with surgical correlation. However, the complete imaging protocol required either an MRI arthrogram [24,26] or administration of intravenous contrast [25]. In contrast, by using SHORMI, the assessment of hip joint abnormalities in our investigation was performed with a non-arthrographic 3.0-T system.…”

“…One of the primary characteristics of our study design was the feasibility of SHOMRI to detect cartilage lesions with surgical reports as the standard of reference. Naturally, other findings in the adjacent bone that are also involved in the process of joint degeneration (bone marrow edema patterns or subarticular cysts) are not visible on macroscopic examination during surgical interventions [24,26] and were therefore not part of our investigation. Cartilage deterioration, as the main characteristic of joint degeneration, is usually at some point accompanied by changes in the subchondral bone, and therefore both can be seen as a continuously challenged functional unit when involved in degeneration [35].…”

The role of multidetector CT arthrography in the investigation of suspected intra-articular hip pathology

“…Arthroscopy represents the gold standard but is invasive, necessitates a general anaesthetic and is best reserved for patients in whom concomitant therapeutic intervention is to be undertaken. Much of the radiology literature has focused on the use of MR arthrography of the hip to detect labral and cartilage pathology [1][2][3][4][5]. A number of groups have also studied the role of non-contrast MRI in the detection of labral tears associated with femoroacetabular impingement and acetabular dysplasia [6][7][8][9].…”