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Symptomatic hip plica: MR arthrographic and arthroscopic correlation

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Abstract

Two cases of unilateral hip pain are reported in which MR arthrography demonstrated a prominent band medial to the ligamentum teres, running in the AP direction, consistent with a hip plica. Both patients underwent hip arthroscopy with resection of the band. No labral tear or additional intra-articular pathological features was identified in either case. Both patients became asymptomatic following surgery and have remained such. The pathology report demonstrated the specimens to be a synovial band with fibroconnective tissue. This is the first MR arthrographic report of the identification and resection of a symptomatic hip plica. The symptomatic plica may represent an alternative diagnosis for mechanical hip pain.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Yale University School of Medicine, 333 Cedar Street, New Haven, 06510, CT, USA

    Lee D. Katz & Andrew Haims

  2. Department of Orthopaedic Surgery and Rehabilitation, Yale University School of Medicine, New Haven, CT, USA

    Lee D. Katz, Andrew Haims & Michael Medvecky

  3. Connecticut Orthopaedic Specialists, Hamden, CT, USA

    John McCallum

Authors
  1. Lee D. Katz
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  2. Andrew Haims
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  3. Michael Medvecky
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  4. John McCallum
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Correspondence to Lee D. Katz.

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Katz, L.D., Haims, A., Medvecky, M. et al. Symptomatic hip plica: MR arthrographic and arthroscopic correlation. Skeletal Radiol 39, 1255–1258 (2010). https://doi.org/10.1007/s00256-010-1026-x

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  • DOI: https://doi.org/10.1007/s00256-010-1026-x

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