Imaging of a Painful

Torn Labrum Healthy Labrum Mri

Newman The imaging workup of the patient with hip pain should begin with plain or routine radiographs of the pelvis and hips. Certainly, by obtaining an anteroposterior view of the pelvis, as well as a lateral radiograph true lateral, frog lateral, or Lowenstein view one can readily compare the right and left hips, and therefore a built-in comparison is available for the radiologist and orthopedist. The diagnosis in many cases is obvious if the patient has had...

Differential Diagnosis of the Painful

Anterior Soft Tissues Neck

Hip and pelvis injuries encompass a wide spectrum of pathology resulting from repetitive microtraumatic stresses or acute traumatic forces. Fortunately, the majority of these injuries heal without permanent sequelae however, accurate recognition and prompt appropriate treatment are required to minimize complications. Approximately 2.5 of all sports-related injuries are located in the hip and pelvic area. Epidemiolog-ical surveys suggest that injuries to the hip and pelvis account for...

Types of Loose Bodies

Rice Bodies Rheumatoid Arthritis

Loose bodies may be ossified and non-ossified and classified as osteocartilaginous, cartilaginous, fibrous, or foreign. By far, the most commonly identified and reported loose bodies associated with the hip are ossified, mainly because they are evident on plain radiographs. As our diagnostic acumen and understanding of early hip pathology improve, the presence and significant of cartilaginous and fibrous processes within the joint will undoubtedly expand. Osteocartilaginous loose bodies are...

Labral Injuries Clinical Correlations Etiology and Classification

Femoral Head With Arthritis

As noted above, the acetabular labrum is a fibrocartilaginous structure attached to the rim of the acetabulum that provides additional surface area for the articulation with the femoral head. The labrum exists at the anterior, superior lateral , and posterior margins of the acetabulum and is absent inferiorly in the cotyloid fossa, at which point it attaches to the transverse acetabular ligament. Pathology of the labrum including tears, hypertrophy, and instability is perhaps the most common...

Pathology and Management

Arthritis Pathology

The pathologies affecting the femoral head are Chondromalacia Chondrolysis Chondral defects Osteochondral defects Osteochondritis dissecans Degenerative joint disease Tumors Global softening of the articular cartilage, chondromalacia coxae, similar to that in the knee, has been reported.6 It does Avascular necrosis Ligamentum teres lesions Inflammatory disease Deformity Arthrofibrosis Fractures appear to be a definite clinical entity and is sometimes the cause of hip pain. The characteristic...

Inflammatory Synovitis Rheumatoid Arthritis

Die Spirale

Rheumatoid arthritis is the most common inflammatory arthritis, affecting 1-2 of the population. Onset of the disease is typically in the fourth and fifth decades of life. With current medical management, overall prognosis has improved, but unfortunately after 10-12 years with the disease, more than 80 of patients have evidence of some joint deformity. Juvenile rheumatoid arthritis JRA , although not as common, involves the hip in approximately one third of children and adolescents, leading to...