• Apostolos H. Karantanas
Part of the Medical Radiology book series (MEDRAD)


Hip and groin injuries are usually seen with kicking, running and jumping athletic activities. Both recreational and elite young athletes can be involved. Plain X-rays are the initial examination although usually unremarkable. CT can be helpful in certain cases such as tiny avulsion injuries, intraarticular loose bodies and myositis ossificans. MR imaging of the hip depicts radiographically occult osseous abnormalities such as stress injuries, musculotendinous injuries and bursitis. US in children and adolescents may be used as an alternative to MR imaging method, for superficial injuries.


Femoral Head Bone Marrow Edema Slip Capital Femoral Epiphysis Loose Body Magnetic Resonance Arthrography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Anderson MW, Greenspan A (1996) Stress fractures. Radiology 199:1–12PubMedGoogle Scholar
  2. Armfield DR, Kim DHM, Towers JD, Bradley JP, Robertson DD (2006) Sports-related muscle injury in the lower extremity. Clin Sports Med 25:803–832PubMedCrossRefGoogle Scholar
  3. Barrett IR, Goldberg JA (1989) Avulsion fracture of the ligamentum teres in a child. J Bone Joint Surg 71:438–439PubMedGoogle Scholar
  4. Bencardino JT, Palmer WE (2002) Imaging of hip disorders in athletes. Radiol Clin North Am 40:267–87, vi–viiGoogle Scholar
  5. Bogost GA, Lizerbram EK, Crues JV III (1995) MR imaging in evaluation of suspected hip fracture: frequency of unsuspected of bone and softtissue injury. Radiology 197:263–267PubMedGoogle Scholar
  6. Bohndorf K (1999) Imaging of acute injuries of the articular surfaces (chondral, osteochondral and subchondral fractures). Skeletal Radiol 28:545–60Google Scholar
  7. Brandser EA, El-Khoury GY, Kathol MH (1985) Adolescent hamstring avulsions that simulate tumors. Emerg Radiol 2:273–278CrossRefGoogle Scholar
  8. Brittenden J, Robinson P (2005) Imaging of pelvic injuries in athletes. Br J Radiol 78:457–468PubMedCrossRefGoogle Scholar
  9. Byrd JW (1996) Labral lesions: an elusive source of hip pain. Case reports and literature review. Arthroscopy 12:603–612PubMedCrossRefGoogle Scholar
  10. Combs JA (1994) Hip and pelvis avulsion fractures in adolescents. Phys Sports Med 22:41–49Google Scholar
  11. Cooper DE, Warren RF, Barnes R (1991) Traumatic subluxation of the hip resulting in aseptic necrosis and chondrolysis in a professional football player. Am J Sports Med 19:322–324PubMedCrossRefGoogle Scholar
  12. Crabbe JP, Martel W, Matthews LS (1992) Rapid growth of femoral herniation pit. AJR Am J Roentgenol 159:1038–1040PubMedGoogle Scholar
  13. Czerny C, Hoffman S, Urban M et al (1999) MR imaging arthrography of the adult acetabular capsular-labral complex: correlation with surgery and anatomy. AJR Am J Roentgenol 173:345–349PubMedGoogle Scholar
  14. Daenen B, Preidler KW, Padmanabhan S et al (1997) Symptomatic herniation pits of the femoral neck: anatomic and clinical study. AJR Am J Roentgenol 168:149–153PubMedGoogle Scholar
  15. DeLee JC, Farney WC (1992) Incidence of injury in Texas high school football. Am J Sports Med 20:575–580PubMedCrossRefGoogle Scholar
  16. Deutsch AL, Mink JH, Waxman AD (1989) Occult fractures of the proximal femur: MR imaging. Radiology 170:113–116PubMedGoogle Scholar
  17. Deutsch AL, Coel MN, Mink JH (1997) Imaging of stress injuries to bone: radiography, scintigraphy and MR imaging. Clin Sports Med 16:275–290PubMedCrossRefGoogle Scholar
  18. Dwek JR (2009) The hip: MR imaging of uniquely pediatric disorders. Radiol CLin N Am 47:997–1008CrossRefGoogle Scholar
  19. El-Khoury GY, Daniel WW, Kathol MH (1997) Acute and chronic avulsive injuries. Radiol Clin North Am 35:747–766PubMedGoogle Scholar
  20. Gamble JG, Kao J (1997) Avulsion fracture of the lesser trochanter in a preadolescent athlete. J Pediatr Orthop 2:188–190Google Scholar
  21. Garrett WE (1996) Muscle strain injuries. Am J Sports Med 24:S2–S8PubMedCrossRefGoogle Scholar
  22. Gomez E, DeLee JC, Farney WC (1996) Incidence of injury in Texas girls’ high school basketball. Am J Sports Med 24:684–687PubMedCrossRefGoogle Scholar
  23. Harris WH, Bourne RB, Oh I (1979) The acetabular labrum: a possible aetiological factor in certain cases of osteoarthritis of the hip. J Bone Joint Surg Am 61:510–514PubMedGoogle Scholar
  24. Hodnett PA, Shelly MJ, MacMahon PJ, Kavanagh EC, Eustace SJ (2009) MR imaging of overuse injuries of the hip. Magn Reson Imaging Clin N Am 17:667–679PubMedCrossRefGoogle Scholar
  25. Jamali AA, Mladenov K, Meyer DC et al (2007) Anteroposterior pelvic radiographs to assess acetabular retroversion: high validity of the cross-over-sign. J Orthop Res 25:758–765PubMedCrossRefGoogle Scholar
  26. Kalberer F, Sierra RJ, Madan SS et al (2008) Ischial spine projection into the pelvis: a new sign for acetabular retroversion. Clin Orthop Relat Res 466:677–683PubMedCrossRefGoogle Scholar
  27. Kneeland JB (1999) MR imaging of sports injuries of the hip. Magn Reson Imaging Clin North Am 7:105–115Google Scholar
  28. Kocher MS, Tucker R (2006) Pediatric athlete hip disorders. Clin Sports Med 25:241–253, viiiPubMedCrossRefGoogle Scholar
  29. LaBella CR (2007) Common acute sports-related lower extremity injuries in children and adolescents. Clin Ped Emerg Med 8:31–42CrossRefGoogle Scholar
  30. Leunig M, Werlen S, Ungersbock A, Ito K, Ganz R (1997) Evaluation of the acetabular labrum by MR imaging arthrography. J Bone Joint Surg Br 79:230–234PubMedCrossRefGoogle Scholar
  31. Leunig M, Beck M, Kalhor M et al (2005) Fibrocysticbchanges at anterosuperior femoral neck: prevalence in hips with femoroacetabular impingement. Radiology 236:237–246PubMedCrossRefGoogle Scholar
  32. Moeller JL (2003) Pelvic and hip apophyseal avulsion injuries in young athletes. Curr Sports Med Rep 2:110–115PubMedGoogle Scholar
  33. Newman JS, Newberg AH (2006) MRI of the painful hip in athlete. Clin Sports Med 25:613–633PubMedCrossRefGoogle Scholar
  34. O’Brien SD, Bui-Mansfield LT (2007) MRI of quadrates femoris muscel tear: another cause of hip pain. AJR Am J Roentgenol 189:1185–1189PubMedCrossRefGoogle Scholar
  35. Pallia CS, Scott RE, Chao DJ (2002) Traumatic hip dislocation in athletes. Curr Sports Med Rep 1:338–345PubMedGoogle Scholar
  36. Palmer WE, Kuong SJ, Elmadbouh HM (1999) MR imaging of myotendinous strain. AJR Am J Roentgenol 173:703–709PubMedGoogle Scholar
  37. Palmer WE (1998) MR arthrography of the hip. Semin Musculoskelet Radiol 2:349–362Google Scholar
  38. Petersilge CA, Haque MA, Petersilge WJ et al (1996) Acetabular labral tears: evaluation with MR arthrography. Radiology 200:231–235PubMedGoogle Scholar
  39. Pitt MJ, Graham AR, Shipman JH, Birkby W (1982) Herniation pit of the femoral neck. AJR Am J Roentgenol 138:115–121Google Scholar
  40. Poggi JJ, Callaghan JJ, Spritzer CE et al (1995) Changes on magnetic resonance images after traumatic hip dislocation. Clin Orthop 319:249–259PubMedGoogle Scholar
  41. Reigstad A (1980) Traumatic dislocation of the hip. J Trauma 20:603–606PubMedCrossRefGoogle Scholar
  42. Rossi F, Dragoni S (2001) Acute avulsion fractures of the pelvis in adolescent competitive athletes: prevalence, location and sports distribution of 203 cases collected. Skeletal Radiol 30:127–131PubMedCrossRefGoogle Scholar
  43. Rupini HD, Holder LE, Espinola DA et al (1985) Three-phase radionucleotide bone imaging in sports medicine. Radiology 156:187–196Google Scholar
  44. Salter RB, Thompson GH (1984) Legg-Calve-Perthes disease: the prognostic significance of the subchondral fracture and a two-group classification of the femoral head involvement. J Bone Joint Surg Am 66:479–489PubMedGoogle Scholar
  45. Shin AY, Morin WK, Gorman JD et al (1996) The superiority of magnetic resonance imaging in differentiating the cause of pain in endurance athletes. Am J Sports Med 24:168–176PubMedCrossRefGoogle Scholar
  46. Slocum KA, Gorman JD, Puckett ML et al (1997) Resolution of abnormal MR signal intensity in patients with stress fractures of the femoral neck. AJR Am J Roentgenol 168:1295–1299PubMedGoogle Scholar
  47. Speer KP, Lohnes J, Garrett WE (1993) Radiographic imaging of muscle strain injury. Am J Sports Med 21:89PubMedCrossRefGoogle Scholar
  48. Spitz D, Newberg A (2002) Imaging of stress fractures in the athlete. Radiol Clin North Am 40:313–331PubMedCrossRefGoogle Scholar
  49. Steinbach LS, Fleckenstein JL, Mink JH (1994) Magnetic resonance imaging of muscle injuries. Orthopedics 17:991–999PubMedGoogle Scholar
  50. Tehranzadeh J (1987) The spectrum of avulsion and avulsion-like injuries of the musculoskeletal system. Radiographics 7:945–974PubMedGoogle Scholar
  51. Wenger DE, Kendell KR, Miner M et al (2004) Acetabular labral tears rarely occur in the absence of bony abnormalities. Clin Orthop Relat Res 426:145–150PubMedCrossRefGoogle Scholar
  52. Wunderbaldinger P, Bremer C, Schellenbrger E et al (2002) Imaging features of iliopsoas bursitis. Eur Radiol 12:409–415PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  1. 1.Department of RadiologyUniversity HospitalHeraklionGreece

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