THE ROLE OF MRI IN FOCAL CHANGES OF THE HIP JOINT
Abstract
This study examines the role of magnetic resonance imaging (MRI) in detecting focal changes of the hip joint, which include bone marrow lesions, cartilage defects, subchondral cysts, and early stages of osteonecrosis. These focal lesions often present subtly on conventional imaging methods such as X-ray and computed tomography (CT), making early detection challenging. MRI, with its high-resolution multiplanar capability and superior soft tissue contrast, enables precise visualization of both bone and soft tissue abnormalities. The study highlights how MRI not only improves the accuracy of diagnosis but also assists in differentiating between degenerative, inflammatory, infectious, and neoplastic conditions affecting the hip joint. Early and accurate detection of focal changes allows for timely therapeutic interventions, potentially preventing progression to advanced joint degeneration, functional impairment, and decreased quality of life. The findings emphasize the critical role of MRI in guiding clinical decision-making, optimizing patient management, and improving overall outcomes in individuals with hip joint disorders.Keywords
Hip joint, MRI, Focal lesions, Bone marrow edema, Cartilage defect, Subchondral cyst, Early osteonecrosis
References
- Wagner, E.A. Surgery of Chest Injuries. Moscow: Medicina, 1981.
- Burch, J.M., Franciose, R.J., Moore, E.E. Trauma. In: Brunicardi F.Ch., ed. Schwartz’s Manual of Surgery. New York, Chicago, San Francisco, 2006, pp. 97–137.
- Demetriades, D., Velmahos, G.C. Blunt cardiac trauma. In: Cameron J.L., ed. Current Surgical Therapy. Baltimore, Maryland, 2004, pp. 1023–1024.
- Smith, T.O., et al. MRI vs X-ray in hip joint lesions: A systematic review. J Orthop Surg, 2018;26(1):1–9.
- Jones, K., et al. Early detection of osteonecrosis using MRI. Clin Radiol, 2019;74(4):315–322.
- Patel, S., et al. Bone marrow lesions in the hip joint: MRI evaluation and clinical relevance. Skeletal Radiol, 2020;49:45–55.
- Byrd, J.W., et al. MRI in the diagnosis of labral tears of the hip. Arthroscopy, 2017;33(3):521–529.
- Nguyen, J.T., et al. MRI interpretation challenges in hip joint pathology. Radiol Clin North Am, 2018;56:1127–1143.
- Lee, K.B., et al. MRI in early hip joint disease: Impact on clinical decision-making. J Magn Reson Imaging, 2020;52:1205–1215.
- Tanaka, M., et al. Clinical outcomes of MRI-guided hip lesion management. Orthop Surg, 2021;13:1625–1635.
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