Magnetic resonance imaging (MRI) in diagnosis of non-traumatic hip joint pain

Abstract

Background: The hip is a significant weight bearing, highly mobile, ball-and-socket synovial joint. There are several reasons of hip pain, such as congenital and developmental, viral, arthritic, and malignant conditions. Magnetic resonance imaging is the method of choice for determining the severity of osseous, chondral, and soft-tissue abnormalities of the hip joint, as well as for characterizing numerous illnesses. This study investigate the role of MRI in identifying hip joint discomfort. Methods and Results: Seventy-five both sexes patients with unilateral or bilateral painful hip joint were examined. The patients with age ranged from 10 to 70 years (mean age 54.74 + 10.52years) were 42 males (mean age 51.44 + 11.50) and 33 females (mean age 42.75 + 12.24) with male to female ratio 1.3:1. All our patients subjected to careful history taking, thorough clinical examination, routine laboratory investigations and local examination of the diseased hip. The majority of patients were in the age group 40-50 years followed by the age group of 50-60 years, with a male preponderance. The commonest chief complaint, other than pain of the involved hip joint, was restricted movement. All patients underwent MRI examination of both hips using a TOSHIBA 1.5 Tesla MRI machine scanner. Unilateral hip involvement was more common than bilateral. The commonest hip disorder was osteoarthritis, followed by avascular necrosis (AVN) of femoral head, tendinopathy, bursitis, sacroiliitis, Cam type femoral-acetabular impingement, ischio-femoral- impingement and pertheʹs disease. Conclusion: The MRI is the diagnostic method of choice for evaluating hip issues. It can discover certain features that lead to an accurate diagnosis of the uncomfortable hip joint and play a vital role in treatment and monitoring of sick joint by doctors.