Hip Magnetic Resonance Imaging: Descriptive Epidemiology and Outcome in Jordan University Hospital

Azmy M. Hadidy, Deema M. Abu-Labn, Tahani M. Ahmad, Azmi A. Haroun, Maher T. Al-Hadidi, Waleed S. Mahafza, Emad S. Tarawneh, Mustafa M. Nadi, Osama A. Samara

Abstract


Aim: To evaluate the experience in Jordan University Hospital regarding hip magnetic resonance imaging and to compare our findings with those published in medical literature.

Methods: one hundred eighty two hip magnetic resonance images performed over the period of 7 years were reviewed, 88 patients (48.3%) had normal hip magnetic resonance image and were excluded from the study while the remaining 94 images (51.6%) with variable abnormalities were included in our study.

Results: Variable hip pathologies were seen, the most common was bone marrow edema syndrome found in 22 patients representing (23.4%) of the pathologies detected, followed by transient osteoporosis in 16 ( 17%) patients and avascular necrosis of the hip joint in 13 (13.8%) patients. Slipped femoral capital epiphysis and Paget’s disease were the least common seen in (1.1%) for each.

Conclusion: In Jordan University Hospital referred patients for hip MRI scanning showed diverse findings with the most common abnormality detected being bone marrow edema syndrome of the femoral head followed by transient osteoporosis and avascular necrosis. The great benefit from magnetic resonance imaging was in diagnosing transient osteoporosis, staging avascular necrosis of the hip joint and characterization of deep pelvic soft tissue masses. The prevalence of hip pathology among Jordan University hospital patients as revealed by magnetic resonance imaging was in concordance with what was published in the literature.

Keywords


Hip Pathology, Hip MRI, BMES.AVN, TOH

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