Role of MRI in Screening of Non-Traumatic Pediatrics Hip Pain

Abstract Background Magnetic resonance is the best imaging modality to assess hip joint in non-traumatic cases. It has a great ability to diagnose disorders of bone, cartilage, ligaments, muscles and soft tissue. MRI can also detect joint effusion and bone marrow edema. Aim of the Work: To assess the value of MRI as the imaging modality in children presenting with acute non-traumatic hip pain and its ability to assess the cause of the pain early without the use of another imaging modality. Patients and Methods A retrospective study was conducted on pediatric patients with non-traumatic hip pain, referred from the outpatient pediatric clinic, orthopedic clinic, Ain Shams University hospitals. The patients were investigated using magnetic resonance imaging (MRI) for detection the cause of non-traumatic hip pain. Results In this study we found that avascular necrosis is the commonest cause of non-traumatic hip pain followed by isolated hip effusion then synovitis. Other causes included perthes, septic arthritis, osteomyelitis, aneurysmal bone cyst, SCFE, PFFD and Osteomalacia. Magnetic resonance imaging doesn’t only demonstrate disorders of hip joint only; it also gives an accurate assessment of other extra-articular causes of referred hip pain. Conclusion Hip MRI is a practical, well accepted and accurate non-invasive imaging technique in children presenting with acute non-traumatic hip pain.

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Role of magnetic resonance imaging as a diagnostic tool in evaluation of painful hip joint, and early detection of pathological changes, helpful to prognosticate and influence therapeutic decisions

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20184679 ◽

2018 ◽

Vol 5 (6) ◽

pp. 1352

Author(s):

Johny Prasad Bollipo ◽

Pasupuleti Bhimeswara Rao

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Early Detection ◽

Hip Joint ◽

Joint Pain ◽

Imaging Modality ◽

Hip Pain ◽

Pathological Changes ◽

Resonance Imaging ◽

Painful Hip

Background: Magnetic Resonance Imaging (MRI) is a well-established imaging technique, which are available at most larger hospitals today. Due to the combination of this high contrast and the fact that it is a non-ionizing radiation, MRI is often used for investigation of a large range of pathologies in almost all parts of the body. This study was performed to describe the MRI features in various types of lesions causing painful hip joint, as well as identify the common lesions seen in painful hip joint and to analyse the severity and extent of the underlying lesion in various conditions of hip joint pain, and early detection of pathological changes helpful to prognosticate and influence therapeutic decisions.Methods: This descriptive study was done on 50 patients with complaints of hip joint pain were included into the study. Appropriate MRI sequences and multi-planar imaging performed for every patient.Results: Out of the 50 patients included in the study, 74% of them were males who were predominantly affected with hip pain. The most common age group which was affected was 51-60 years (20%) and 21-30 years (20%). The most common pathology amongst the patients was Avascular necrosis of femoral head seen in 44% of the patients, osteoarthritis was seen in 54 patients, Tuberculosis in 5 patients, 2 had Perthe’s disease, joint effusion was observed in 6 patients.Conclusions: MRI of the hip joint is an informative, diagnostic, non-invasive, rapid and accurate imaging modality for the assessment of hip pain and sufficient imaging modality for delineation of different hip joint pathology.

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Assessment of irreducible aspects in developmental hip dysplasia by magnetic resonance imaging

10.21203/rs.3.rs-39006/v3 ◽

2020 ◽

Author(s):

Huihui Jia ◽

Liang Wang ◽

Yan Chang ◽

Yongrui Song ◽

Yuqi Liu ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Surgical Treatment ◽

Magnetic Resonance ◽

Hip Joint ◽

Preoperative Evaluation ◽

Joint Effusion ◽

Pathological Examination ◽

Iliopsoas Muscle ◽

Resonance Imaging ◽

Wide Range

Abstract Background：The developmental dysplasia of the hip (DDH) can cause a wide range of pathological changes, and often requires surgical treatment. Preoperative evaluation is very important for DDH. We aimed to assess the diagnostic capability of magnetic resonance imaging (MRI) for irreducible aspects preventing hip reduction in DDH. Methods: A total of 39 pediatric patients who received DDH evaluation in pediatric orthopedics from January 2015 to December 2019 were included. The samples included 4 cases of bilateral DDH and 35 cases of unilateral DDH, a total of 43 hip joint samples. All patients underwent surgical treatment, pathological examination and MRI of hip joint.Results: With pathological results or intraoperative findings as the gold standard, the sensitivity and specificity of MRI were 90.3% and 83.3% for the affected labrum, 92% and 83.3% for thickening of the round ligament, 90.0% and 91.3% for atrophy of the iliopsoas muscle, and 100% and 100% for fibrofatty pulvinar tissue and joint effusion, respectively. Conclutions: The MRI showed an extraordinary capability of detecting these irreducible factors and helped surgeon choose the appropriate treatment strategies.

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Magnetic resonance imaging as the primary imaging modality in children presenting with acute non-traumatic hip pain

Emergency Medicine Journal ◽

10.1136/emj.18.1.25 ◽

2001 ◽

Vol 18 (1) ◽

pp. 25-29 ◽

Cited By ~ 24

Author(s):

P M White

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Imaging Modality ◽

Hip Pain ◽

Resonance Imaging

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A Boy with Limping and Hip Pain

Iranian Journal of Pediatrics ◽

10.5812/ijp.117882 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Kosar Asna Ashari ◽

Mohamedreza Abdosalehi ◽

Fatemeh Tahghighi

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Gluteus Maximus ◽

Hip Pain ◽

Joint Effusion ◽

Past Medical History ◽

Resonance Imaging ◽

Laboratory Findings ◽

Magnetic Resonance Imaging Mri ◽

Joint Laboratory

: We presented a 5-year-old boy with fever, limping, and hip pain for six days. There was no abnormal past medical history. He kept his left leg immobile and slightly flexed, and externally rotated in the hip joint. Laboratory findings showed leukocytosis and elevated ESR and CRP. Hip sonography was normal. Hip magnetic resonance imaging (MRI) found no joint effusion but elucidated signs of inflammation in muscles of the periarticular and proximal femoral area (iliopsoas and gluteus maximus), and no collection could be noticed. We provided a thorough discussion on differential diagnoses and approaches to the patient.

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Assessment of irreducible aspects in developmental hip dysplasia by magnetic resonance imaging

10.21203/rs.3.rs-39006/v4 ◽

2020 ◽

Author(s):

Huihui Jia ◽

Liang Wang ◽

Yan Chang ◽

Yongrui Song ◽

Yuqi Liu ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Surgical Treatment ◽

Magnetic Resonance ◽

Hip Joint ◽

Preoperative Evaluation ◽

Joint Effusion ◽

Pathological Examination ◽

Iliopsoas Muscle ◽

Resonance Imaging ◽

Wide Range

Abstract Background: The developmental dysplasia of the hip (DDH) can cause a wide range of pathological changes, and often requires surgical treatment. Preoperative evaluation is very important for DDH. We aimed to assess the diagnostic capability of magnetic resonance imaging (MRI) for irreducible aspects preventing hip reduction in DDH. Methods: A total of 39 pediatric patients who received DDH evaluation in pediatric orthopedics from January 2015 to December 2019 were included. The samples included 4 cases of bilateral DDH and 35 cases of unilateral DDH, a total of 43 hip joint samples. All patients underwent surgical treatment, pathological examination and MRI of hip joint. Results: With pathological results or intraoperative findings as the gold standard, the sensitivity and specificity of MRI were 90.3% and 83.3% for the affected labrum, 92% and 83.3% for thickening of the round ligament, 90.0% and 91.3%for atrophy of the iliopsoas muscle, and 100% and 100% for fibrofatty pulvinar tissue and joint effusion, respectively. Conclutions: The MRI showed an extraordinary capability of detecting these irreducible factors and helped surgeon choose the appropriate treatment strategies.

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Assessment of irreducible aspects in developmental hip dysplasia by magnetic resonance imaging

10.21203/rs.3.rs-39006/v2 ◽

2020 ◽

Author(s):

Huihui Jia ◽

Liang Wang ◽

Yan Chang ◽

Yongrui Song ◽

Yuqi Liu ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Surgical Treatment ◽

Magnetic Resonance ◽

Hip Joint ◽

Preoperative Evaluation ◽

Joint Effusion ◽

Pathological Examination ◽

Iliopsoas Muscle ◽

Resonance Imaging ◽

Wide Range

Abstract Background: The developmental dysplasia of the hip (DDH) can cause a wide range of pathological changes, and often requires surgical treatment. Preoperative evaluation is very important for DDH. We aimed to assess the diagnostic capability of magnetic resonance imaging (MRI) for irreducible aspects preventing hip reduction in DDH. Methods: A total of 39 pediatric patients who received DDH evaluation in pediatric orthopedics from January 2015 to December 2019 were included. The samples included 4 cases of bilateral DDH and 35 cases of unilateral DDH, a total of 43 hip joint samples. All patients underwent surgical treatment, pathological examination and MRI of hip joint.Results: With pathological results or intraoperative findings as the gold standard, the sensitivity and specificity of MRI were 90.3% and 83.3% for the affected labrum, 92% and 83.3% for thickening of the round ligament, 90.0% and 91.3% for atrophy of the iliopsoas muscle, and 100% and 100% for fibrofatty pulvinar tissue and joint effusion, respectively. Conclutions: The MRI showed an extraordinary capability of detecting these irreducible factors and helped surgeon choose the appropriate treatment strategies.

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Assessment of irreducible aspects in developmental hip dysplasia by magnetic resonance imaging

BMC Pediatrics ◽

10.1186/s12887-020-02420-2 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Huihui Jia ◽

Liang Wang ◽

Yan Chang ◽

Yongrui Song ◽

Yuqi Liu ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Surgical Treatment ◽

Magnetic Resonance ◽

Hip Joint ◽

Preoperative Evaluation ◽

Joint Effusion ◽

Pathological Examination ◽

Iliopsoas Muscle ◽

Resonance Imaging ◽

Wide Range

Abstract Background The developmental dysplasia of the hip (DDH) can cause a wide range of pathological changes, and often requires surgical treatment. Preoperative evaluation is very important for DDH. We aimed to assess the diagnostic capability of magnetic resonance imaging (MRI) for irreducible aspects preventing hip reduction in DDH. Methods A total of 39 pediatric patients who received DDH evaluation in pediatric orthopedics from January 2015 to December 2019 were included. The samples included 4 cases of bilateral DDH and 35 cases of unilateral DDH, a total of 43 hip joint samples. All patients underwent surgical treatment, pathological examination and MRI of hip joint. Results With pathological results or intraoperative findings as the gold standard, the sensitivity and specificity of MRI were 90.3% and 83.3% for the affected labrum, 92% and 83.3% for thickening of the round ligament, 90.0% and 91.3% for atrophy of the iliopsoas muscle, and 100% and 100% for fibrofatty pulvinar tissue and joint effusion, respectively. Conclutions The MRI showed an extraordinary capability of detecting these irreducible factors and helped surgeon choose the appropriate treatment strategies.

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Functional information from magnetic resonance imaging

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100136799 ◽

1995 ◽

Vol 53 ◽

pp. 84-85

Author(s):

Alan P. Koretsky ◽

Afonso Costa e Silva ◽

Yi-Jen Lin

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

High Resolution ◽

Cancer Biology ◽

Imaging Modality ◽

Magnetic Resonance Images ◽

Great Success ◽

Functional Information ◽

Resonance Imaging ◽

High Resolution Mri

Magnetic resonance imaging (MRI) has become established as an important imaging modality for the clinical management of disease. This is primarily due to the great tissue contrast inherent in magnetic resonance images of normal and diseased organs. Due to the wide availability of high field magnets and the ability to generate large and rapidly switched magnetic field gradients there is growing interest in applying high resolution MRI to obtain microscopic information. This symposium on MRI microscopy highlights new developments that are leading to increased resolution. The application of high resolution MRI to significant problems in developmental biology and cancer biology will illustrate the potential of these techniques.In combination with a growing interest in obtaining high resolution MRI there is also a growing interest in obtaining functional information from MRI. The great success of MRI in clinical applications is due to the inherent contrast obtained from different tissues leading to anatomical information.

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