2/7/2024 0 Comments Normal xray of hip joint![]() ![]() ![]() Large FOV fluid-sensitive sequences, either T2-weighted with fat suppression or short tau inversion recovery (STIR), are obtained in the coronal and axial planes and are used to evaluate for fractures, fluid collections, and injuries involving tendon or muscle. Coronal T1-weighted images without fat suppression are best for revealing detailed anatomy and evaluating bone marrow and musculature. This prevents other pelvis pathology that can mimic hip pain from being overlooked. In patients with nonspecific hip pain, even unilateral symptoms, large field-of-view (FOV) images of the pelvis (30 cm or more) are commonly performed, spanning the region from the iliac crests to the level of the lesser trochanters. Imaging protocolÄedicated MRI protocols for imaging the pelvis and hip vary among institutions, but there are key elements common to most. This article provides a brief overview of considerations in tailoring protocols of the bony pelvis and hip to optimize detection of both intra- and extra-articular hip pathology, followed by a review of common labral, osteocartilaginous, and soft tissue variants that can be mistaken for true pathology. Familiarity with the spectrum of magnetic resonance imaging (MRI) appearances of the hip is necessary to recognize normal variants and distinguish them from true pathologic conditions. In addition, the capsulo labral tissues and surrounding muscles and tendons stabilize the hip, dictate its range of motion, and enhance its function. ![]() The hip is a complex ball-and-socket joint comprising the acetabulum, proximal femur, and articular cartilage. ![]()
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