Migratory Osteoporosis Research Articles

Zoledronic acid is effective and safe in migratory osteoporosis.

Zoledronic acid is effective and safe in migratory osteoporosis.

Role of Magnetic Resonance Imaging in the evaluation of adult non-traumatic painful hip

Aim of the Work: to assess the role of Magnetic Resonance Imaging as a non-invasive diagnostic modality in adult patients with the non-traumatic painful hip joint. Patients and Methods: This study was conducted on 60 adult patients with non-traumatic hip pain, referred from the outpatient orthopedic clinic, Ain Shams University hospitals. The patients were investigated using magnetic resonance imaging (MRI). All MR imaging examinations were conducted at the Department of Radiodiagnosis of the Ain shams University with the same 1.5-T unit (Philips Healthcare, Best, the Netherlands) with a body coil. Results: avascular necrosis is the commonest cause of bilateral hip pain (25%) of the study patients followed by osteoarthritis (11.7%), while unilateral hip pain is commonly caused by stress fractures (8.3%), isolated joint effusion (10%) and tendinopathies (3.3%). Other causes included Marrow edema with hip effusion, chronic anemic state, migratory osteoporosis, osteoid osteoma, bursitis, bone infarcts, osseous hemangioma, hemosiderosis, sacroiliitis, femoral-acetabular impingement, iliacus abscess, and bone marrow edema. Magnetic resonance imaging doesn’t only demonstrate disorders of hip joint only; it also gives an accurate assessment of other extra-articular causes of referred hip pain as degenerative disc diseases and pelvic conditions. Conclusion: Magnetic resonance is the best imaging modality to assess hip joint in non-traumatic cases. It has a great ability to diagnose disorders of bone, cartilage, ligaments, muscles and soft tissue. MRI can also detect joint effusion and bone marrow edema.

Role of magnetic resonance imaging in the assessment of chronic hip pain in adults

Objectives This study aimed to evaluate the diagnostic value of MRI in the assessment of painful hip joints in adults. Background Hip pain has different etiologies. MRI is the method of choice for characterizing various disorders and for assessing the full extent of osseous, chondral, and soft-tissue abnormalities of the hip joint. Patient and methods This retrospective study was conducted on 35 patients with painful hip joints. The following MR sequences were performed on all patients: Coronal T1, T2, and STIR-weighted images (WIs,) axial T1 and T2 WIs, axial T1 WI, and sagittal T1 WI after contrast injection in five patients. Patient history, local examination of the diseased hip, and laboratory investigations were performed. Results The male-to-female ratio was 20: 15, and their ages ranged from 15 to 75 years with a mean value of 45 years. The final MRI diagnoses in 35 patients were as follows: avascular necrosis in 10 (28.57%), transient synovitis in eight (22.86%), septic arthritis in four (11.43%), malignant neoplasm in four (11.43%), osteoarthritis in two (5.71%), bone marrow contusion in three (8.57%), migratory osteoporosis in one (2.86%), bursitis in one (2.86%), and stress fractures in two (5.71%) patients. Conclusion MRI of the hip joint is a safe, reliable, diagnostic, and accurate imaging modality for the assessment of hip pain and is sufficient for delineation of different hip joint pathologies.

The Role of MRI in the Evaluation of Painful Hip Joint (MRI of Hip Joint)

This study aim to evaluate the diagnostic value of MRI in assessment of painful hip joint. Background: Radiographic evaluation is crucial in patients with painful hip joint. Hip pain has different etiologies in adults and children. MRI is the method of choice in characterizing the various disorders and assessing the full extent of osseous, chondral and soft tissue abnormality of the hip joint. Methods: This prospective study included 100 patients with painful hip joint. The following MR sequences were performed to all patients: Coronal T1, T2 & STIR WIs, axial T1&T2WIs, axial T1WI and sagittal T1WI after contrast injection. Patient's history, local examination of the diseased hip and laboratory investigations were performed. Results: Male to female was 45 to 55, their ages ranged from 10 to 60 years with a mean age of 35 years. The MRI sensitivity were as follows 88% in avascular necrosis, 80% in osteoarthritis,90% in migratory osteoporosis, 100% in transient synovitis, 72% in septic arthritis, 80% in Perthe's disease, 80 % in tumor, 100% in inflammatory lesions 75% in slipped femoral epiphysis and 100% in stress fractures . Conclusion: MRI of the hip joint is an informative, diagnostic, and accurate for the assessment of hip pain and sufficient imaging modality for delineation of different hip joint pathology.