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Research Paper | Radiology and Medical Imaging Sciences | India | Volume 12 Issue 4, April 2023
Role of Plain Radiograph and Magnetic Resonance Imaging in Evaluation of Painful Hip Joints in Adults
Dr. Unush Khan | Dr. Rajesh Mehta [2]
Abstract: Pain in hip joint is a common complaint in the present - day practice and could be due to various reasons, as the investigations are invariably used to come to a diagnosis of the cause of pain. Plain radiographs are used as first investigation followed by Magnetic resonance imaging which is a valuable tool in the evaluation of pain in hip region, because it enables accurate assessment of bone marrow, epiphyses, articular cartilage, joint fluid, and extra - articular soft tissues that can be affected by hip disease. Magnetic resonance imaging is the modality of choice when clinical examination is suspect for hip disease and plain radiographs are equivocal or normal. Early diagnosis and treatment is very important in many of the hip disorders. Of the 71 cases the males (73.2%) are commonly affected than females (26.7%). Majority of the patients fall under the age group of 41 - 50 years (30.9%). In our study we find the commonest pathology for the hip joint pain is AVN of femoral head 30 cases (42.2%), followed by joint effusion 17 cases (29.4%), Osteoarthritis 12 cases (16.9%), TB hip 5 cases (7.0%), fracture 3 cases (4.20), metastatic disease 2 cases (2.8%) and sacroiliitis 2 case (2.8%). Out of 30 cases of AVN only 8 (26.6%) cases are detected on plain radiograph whereas all the 30 cases (100%) are diagnosed on Magnetic resonance imaging. MRI of the hips should be performed early in patients with persistent pain and negative radiography findings. MR imaging is a valuable tool in the evaluation of hip disorders because it enables assessment of epiphyses, bone marrow, articular cartilage, joint fluid, and extra - articular soft tissues structures that can be affected by hip disease. MRI is an imaging technique that does not require exposure to radiation. MR imaging is the modality of choice when clinical examination is suspect for hip disease and plain radiographs are normal or equivocal. Early diagnosis and treatment are important in many of the disorders.
Keywords: Diagnosis, Magnetic resonance imaging, sacroiliitis, Osteoarthritis, Bone marrow edema, Arthritis, Avascular necrosis of hip
Edition: Volume 12 Issue 4, April 2023,
Pages: 1845 - 1850