Abstact
It is extremely important to provide the interpreting radiologist with a detailed and accurate history in order to avoid under-appreciation of subtle findings on the requested study. When interpreting plain radiographs, do not focus just on the femoral head and hip joints. The scan must also include the sacroiliac joints, lumbar spine, pubic symphysis, obturator foramen, and adjacent soft tissues as well. If intra-articular pathology is suspected, the magnetic resonance imaging (MRI) should be performed on a high field system with a narrow field of view (as opposed to an open low field magnet). Magnetic resonance arthrography (MRA) is the preferred method of assessment of cartilage pathology in the hip joint. Stress fractures present on MR as a linear band of signal replacing normal bone marrow. If femoroacetabular impingement (FAI) is suspect, radiography should include a cross-table lateral view.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Anderson K, Strickland SM, Warren R. Hip and groin injuries in athletes. Am J Sports Med 2001; 29:521–531.
Armfield DR, Towers JD, Robertson DD. Radiographic imaging of the athletic hip. Clin Sports Med 2006; 25:211–239.
Valimaki VV, Alfthan H, Lehmuskallio E, et al. Risk factors for clinical stress fractures in male military recruits: a prospective cohort study. Bone 2005; 37:267–273.
Mattila VM, Niva M, Kiuru M, Pihlajamaki H. Risk factors for bone stress injuries: a follow-up study of 102,515 person-years. Med Sci Sports Exerc 2007; 39:1061–1066.
Kiuru MJ, Pihlajamaki HK, Ahovuo JA. Fatigue stress injuries of the pelvic bones and proximal femur: evaluation with MR imaging. Eur Radiol. 2003; 13:605–611.
Anderson MW, Kaplan PA, Dussault RG. Adductor insertion avulsion syndrome (thigh splints): spectrum of MR imaging features. AJR 2001; 177:673–675.
Song WS, Yoo JJ, Koo KH, et al. Subchondral fatigue fracture of the femoral head in military recruits. J Bone Joint Surg Am 2004; 86A:1917–1924.
Dorne HL, Lander PH. Spontaneous stress fractures of the femoral neck. AJR 1985; 144:343–347
Lee JK, Yao L. Stress fractures: MR imaging. Radiology 1988; 169:217–220.
Kocher MS, Tucker R. Pediatric athlete hip disorders. Clin Sports Med 2006; 25:241–253.
Ozonoff MB. Pediatric Orthopedic Radiology, 2nd ed. Philadelphia: WB Saunders Co; 1992.
Bencardino JT, Palmer WE. Imaging of hip disorders in athletes. Radiol Clin North Am 2002; 40:267–287.
Tannast M, Siebenrock KA, Anderson SE. Femoroacetabular impingement: radiographic diagnosis – what the radiologist should know. AJR 2007; 188:1540–1552.
Delaunay S, Dussault RG, Kaplan PA, Alford BA. Radiographic measurements of dysplastic adult hips. Skeletal Radiol 1997; 26:75–81.
Ganz R, Parvizi J, Beck M, et al. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res 2003; 417:112–120.
Reynolds D, Lucac J, Klaue K. Retroversion of the acetabulum: a cause of hip pain. J Bone Joint Surg 1999; 81B:281–288.
Leunig M, Beck M, Kalhor M, et al. Fibrocystic changes at anterosuperior femoral neck: prevalence in hips with femoroacetabular impingement. Radiology 2005; 236:237–246.
Ito K, Leunig M, Ganz R. Histopathologic features of the acetabular labrum in femoroacetabular impingement. Clin Orthop Relat Res 2004; 429:262–271.
Kingzett-Taylor A, Tirman PF, Feller J, et al. Tendinosis and tears of gluteus medius and minimus muscles as a cause of hip pain: MR imaging findings. AJR Am J Roentgenol 1999; 173:1123–1126.
Cardinal E, Buckwalter KA, Capello WN, Duval N. US of the snapping iliopsoas tendon. Radiology 1996; 198:521–522.
Vaccaro JP, Sauser DD, Beals RK. Iliopsoas bursa imaging: efficacy in depicting abnormal iliopsoas tendon motion in patients with internal snapping hip syndrome. Radiology 1995; 197:853–856.
Kemp S, Batt ME. The “sports hernia”: a complex cause of groin pain. Phys Sports Med 1998; 26:59–65.
Robinson P, Barron DA, Parsons W, et al. Adductor-related groin pain in athletes: correlation of MR imaging with clinical findings. Skeletal Radiol 2004; 33:451–457.
Cunningham PM, Brennan D, O’Connell M, et al. Patterns of bone and soft-tissue injury at the symphysis pubis in soccer players:observations at MRI. AJR 2007; 188:W291–W296.
Connell DA, Schneider-Kolsky ME, Hoving JL, et al. Longitudinal study comparing sonographic and MRI assessments of acute and healing hamstring injuries. AJR 2004; 183:975–984.
Slavotinek JP, Verrall GM, Fon GT. Hamstring injury in athletes: using MR imaging measurements to compare extent of muscle injury with amount of time lost from competition. AJR 2002; 179:1621–1628.
McCarthy EF, Sundaram M. Heterotopic ossification: a review, Skeletal Radiol 2005; 34:609–619.
Peetrons P. Ultrasound of muscles. Eur Radiol 2002; 12:35–43.
Boutin RD, Fritz RC, Steinbach LS. Imaging of sports-related muscle injuries. Radiol Clin North Am 2002; 40:333–362.
Bencardino JT, Mellado JM. Hamstring injuries of the hip. Magn Reson Imaging Clin N Am 2005; 13:677–690.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Flemming, D.J., Walker, E.A. (2010). Imaging of Hip and Pelvis Injuries. In: Seidenberg, P., Bowen, J. (eds) The Hip and Pelvis in Sports Medicine and Primary Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5788-7_5
Download citation
DOI: https://doi.org/10.1007/978-1-4419-5788-7_5
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-5787-0
Online ISBN: 978-1-4419-5788-7
eBook Packages: MedicineMedicine (R0)