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Clinical Article
Unilateral hip 3.0 T MRI application in femoroacetabular impingement
CHEN Jing  ZOU Yue-fen  FENG Yang  XU Lei 

DOI:10.12015/issn.1674-8034.2018.01.011.


[Abstract] Objective: The purpose of our study is to evaluate the value of 3.0 T MRI for the diagnosis of acetabular labrum injury in the patients with femoroacetabular impingement (FAI).Materials and Methods: From January 2015 to June 2017 imaging features of 60 patients with FAI confirmed by arthroscopy were analyzed retrospectively, and compared with the results of arthroscopy.Results: The sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of MRI diagnosis of acetabular labrum injury were 78.9%, 100%, 80% , 100% and 20% respectively. The coincidence of MRI diagnosis of paralabral cyst, femoral head cyst, round ligament injury, herniation pit were 100%, and the coincidence of MRI diagnosis of cartilage injury was 8.3%.Conclusions: Unilateral hip 3.0 T MRI is of great value in the diagnosis of acetabular labrum injury in FAI patients.
[Keywords] Hip joint;Wounds and injuries;Magnetic resonance imaging;Arthroscopy

CHEN Jing Department of Radiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China

ZOU Yue-fen* Department of Radiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China

FENG Yang Department of Radiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China

XU Lei Department of Radiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China

*Correspondence to: Zou YF, E-mail: zou_yf@163.com

Conflicts of interest   None.

Received  2017-09-20
Accepted  2017-11-01
DOI: 10.12015/issn.1674-8034.2018.01.011
DOI:10.12015/issn.1674-8034.2018.01.011.

[1]
Ganz R, Parvizi J, Beck M, et al. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthopaedics Relat Res, 2003, (417): 112-120.
[2]
Dimmick S, Stevens KJ, Brazier D, et al. Femoroacetabular impingement. Radiol Clin North Am, 2013, 51(3): 337-352.
[3]
Azegami S, Kosuge D, Ramachandran M. Surgical treatment of femoroacetabular impingement in patients with slipped capital femoral epiphysis: a review of current surgical techniques. Bone Joint J, 2013, 95-B(4): 445-451.
[4]
Pun S, Kumar D, Lane NE. Femoroacetabular impingement. Arthritis Rheumatol, 2015, 67(1): 17-27.
[5]
Groh MM, Herrera J. A comprehensive review of hip labral tears. Curr Rev Musculoskelet Med, 2009, 2(2): 105-117.
[6]
Thomas JD, Li Z, Agur AM, et al. Imaging of the acetabular labrum. Semin Musculoskelet Radiol, 2013, 17(3): 248-257.
[7]
Mccarthy JC, Noble PC, Schuck MR, et al. The Otto E. Aufranc award: the role of labral lesions to development of early degenerative hip disease. Clin Orthop Relat Res, 2001, (393): 25-37.
[8]
Seldes RM, Tan V, Hunt J, et al. Anatomy, histologic features, and vascularity of the adult acetabular labrum. Clin Orthop Relat Res,2001, (382): 232-240.
[9]
Lewis CL, Sahrmann SA. Acetabular labral tears. Phys Ther, 2006, 86(1): 110-121.
[10]
Tian CY, Wang JQ, Zheng ZZ, et al. 3.0 T conventional hip MR and hip MR arthrography for the acetabular labral tears confirmed by arthroscopy. Eur J Radiol, 2014, 83(10): 1822-1827.
[11]
Magee T. Comparison of 3.0-T MR vs 3.0-T MR arthrography of the hip for detection of acetabular labral tears and chondral defects in the same patient population. Br J Radiol, 2015, 88(1053): 20140817.
[12]
Smith TO, Hilton G, Toms AP, et al. The diagnostic accuracy of acetabular labral tears using magnetic resonance imaging and magnetic resonance arthrography: a Meta-analysis. Eur J Radiol, 2011, 21(4): 863-874.
[13]
Studler U, Kalberer F, Leunig M, et al. MR arthrography of the hip: differentiation between an anterior sublabral recess as a normal variant and a labral tear. Radiology, 2008, 249(3): 947-954.
[14]
Nguyen MS, Kheyfits V, Giordano BD, et al. Hip anatomic variants that may mimic abnormalities at MRI: labral variants. AJR Am J Roentgenol, 2013, 201(3): W394-W400.
[15]
Guo Z, Cheng XG. MR examination and diagnosis of acetabular labral injures. Chin J Magn Reson Imaging, 2012, 3(4): 314-316.过哲,程晓光.髋臼盂唇损伤的MR检查及诊断.磁共振成像, 2012, 3(4): 314-316.
[16]
Mervak BM, Morag Y, Marcantonio D, et al. Paralabral cysts of the hip: sonographic evaluation with magnetic resonance arthrographic correlation. J Ultrasound Med, 2012, 31(3): 495-500.
[17]
Leunig M, Beck M, Kalhor M, et al. Fibrocystic changes at anterosuperior femoral neck: prevalence in hips with femoroacetabular impingement. Radiology, 2005, 236(1): 237-246.
[18]
Ji HM, Baek JH, Kim KW, et al. Herniation pits as a radiographic indicator of pincer-type femoroacetabular impingement in symptomatic patients. Knee Surg Sports Traumatol Arthrosc, 2014, 22(4): 860-866.
[19]
Huang YQ, Chen WG, Wang JD. Preliminary study of X-ray on the relationship between herniation pit of femoral neck and femoroacetabular impingement syndrome. J Clin Radiol, 2013, 32(3): 384-387.黄耀渠,陈卫国,王吉东.股骨颈疝窝与股骨髋臼撞击综合征关系的X线初步研究.临床放射学杂志, 2013, 32(3): 384-387.
[20]
Huang YQ, Li JH, Liang ZH, et al. Correlation between the prevalence of herniation pits of femoral neck and anatomical parametersrelated to femoroacetabular impingement: multislice CT study. Chin J Anatomy Clin, 2016, 21(1): 18-21.黄耀渠,李均洪,梁振华,等.股骨颈疝窝与股骨髋臼撞击综合征相关解剖学异常的多层螺旋CT研究.中华解剖与临床杂志, 2016, 21(1): 18-21.

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