Magnetic Resonance Imaging (MRI) in Diagnosis of Hip Joint Disability in Adults

Abstract
Background: Painful hip is a common problem in absence of a known acute trauma. MRI is a method of choice in detection of different causes of hip pain causing hip joint disability in adults including osseous, chondral and soft tissue abnormalities.
Aim of Study: This prospective study was conducted to evaluate the role of Magnetic Resonance Imaging (MRI) in diagnosis of different causes of hip joint disability in adults.
Patients and Methods: This study was conducted on 42 patients (22 females and 20 males) with age ranged from 18- 68 years (mean of 41 years). All patients was subjected to plain X-ray and MRI of hip joint in different sequences, with additional post contrast (axial and coronal T1 WI) in 6 patents. Patient history, clinical examination of the diseased hip, and laboratory investigations were performed.
Results: According to final results: 12 patients (28.6% of 42 patients) presented clinically with hip pain but had negative plain X-ray and MRI findings, while other 30 patients of them (71.4%) their MRI diagnoses were as follows: Avascular necrosis in 10 (33.3%), transient osteoporosis in 4 (13%), osteoarthritis in 3 (10%), inflammatory arthritis in 2 (6.7%), traumatic condition in 3 (10%) and bone tumors in 8 (27%).
Conclusion: MRI of the hip joint is an essential imaging modality in detection of different hip joint pathologies espe-cially in patients presented clinically with hip pain but with negative conventional radiography.