Abstract
We performed magnetic resonance imaging (MRI) in osteoarthrosis (OA) of 35 dysplastic hips in 28 patients using a 1.5-Tesla superconductive magnet. MR images were compared with conventional radiographs and arthrograms. MRI demonstrated cartilage irregularity and joint space narrowing in 17 hips earlier than did radiographs. Acetabular labrum tears were observed in 24 hips by MRI and in 23 hips by arthrography, suggesting that the former may be as useful as the latter. Osteophytes, joint effusion and synovial proliferation can be identified better by MRI than by conventional radiography. An MR grading system was established according to the thickness of the cartilage and sclerosis of the acetabulum or femoral head. This system can be a powerful tool to recognize the early stage of OA. MRI can demonstrate directly the severity of OA, including early degeneration of articular cartilage and acetabular labrum tear.
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References
Bongartz G, Book E, Horbach T, Requardt H (1989) Degenerative cartilage lesions of the hip — magnetic resonance evaluation. Magnetic Resonance Imaging 7:179–186
Boss CFA, Bloem JL (1989) Treatment of dislocation of the hip, detected in early childhood, based on magnetic resonance imaging. J Bone Joint Surg [Am] 71:1523–1529
Braunstein EM, Brandt KD, Albrecht M (1990) MRI demonstration of hypertrophic articular cartilage repair in osteoarthritis. Skeletal Radiol 19:335–339
Chandnani VP, Ho C, Chu P, Trudell D, Resnick D (1991) Knee hyaline cartilage evaluated with MR imaging: a cadaveric study involving multiple imaging sequences and intruarticular injection of gadolinium and saline solution. Radiology 178:557–561
Conway WF, Hayes CW, Loughran T, Totty WG, Griffetb LK, El-Kboury GY, Sbellock FG (1991) Cross-sectional imaging of the patellofemoral joint and surrounding structures. RadioGraphics 11:195–217
Dorrell JH, Catterall A (1986) The torn acetabular labrum. J Bone Joint Surg [Br] 68:400–403
Fitzgerald RH (1995) Acetabular labrum tears — diagnosis and treatment. Clin Orthop 311:60–68
Hayes CW, Conway WF (1992) Evaluation of articular cartilage: radiographic and cross-sectional imaging techniques. RadioGraphics 12:409–428
Hodler J, Berthiaume MJ, Schweitzer ME, Resnick D (1992) Knee joint hyaline cartilage defects: a comparative study of MR and anatomic sections. J Comput Assist Tomogr 16:597–603
Hodler J, Trudell D, Pathria MN, Resnick D (1992) Width of the articular cartilage of the hip: quantification by using fat-suppression spin-echo MR imaging in cadavers. AIR 159:351–355
Ikeda T, Awaya G, Suzuki S, Okada Y, Tada H (1988) Torn acetabular labrum in young patients. J Bone Joint Surg [Br] 70:13–16
Jonsson K, Buckwalter K, Helvie L, Niklason L, Martel W (1992) Precision of hyaline cartilage thickness measurements. Acta Radiol 33:234–239
Klaue K, Dumin CW, Ganz R (1991) The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg [Br] 73:423–429
Kramer J, Recht MP, Imhof H, Stiglbäuer R, Engel A (1994) Postcontrast MR arthrography in assessment of cartilage lesions. J Comput Assist Tomogr 18:218–224
Lang P, Jergesen HE, Murry WR (1992) Imaging of the hip joint. Clin Orthop 274:135–153
Lehner KB, Rechl HP, Gmeinwieser JK, Heuck AF, Lukas HP, Kohl HP (1989) Structure, function, and degeneration of bovine hyaline cartilage: assessment with MR imaging in vitro. Radiology 170:495–499
Li KC, Higgs J, Aisen AM, Buckwalter KA, Martel W, McCune WJ (1988) MRI in osteoarthritis of the hip: gradations of severity. Magnetic Resonance Imaging 6:229–236
Modl JM, Sether LA, Haughton VM, Kneeland JB (1991) Articular cartilage: correlation of histologic zones with signal intensity at MR imaging. Radiology 181:853–855
Monson NL, Haughton VM, Modi JM, Sether LA, Ho KC (1992) Normal and degenerating articular cartilage: in vitro correlation of MR imaging and histologic findings. JMRI 2:41–45
Ohgiya H (1994) An arthroscopic study of coxarthrosis (in Japanese). J Jpn Orthop Assoc 68:125–138
Paul PK, O'Byme E, Blancuzzi V, Wilson D, Gunson D, Douglas FL, Wang JZ, Mezrich RS (1991) Magnetic resonance imaging reflects cartilage proteoglycan degeneration in the rabbit knee. Skeletal Radiol 20:31–36
Paul PK, Jasani MK, Sebok D, Rakhit A, Dunton AW, Douglas FL (1993) Variation in MR signal intensity across normal human knee cartilage. JMRI 3:569–574
Recht MP, Resnick D (1994) MR imaging of articular cartilage: current status and future directions. AJR 163:283–290
Recht MP, Kramer J, Marcelis S, Pathria MN, Trudell D, Haghighi P, Sartori SDJ, Resnick D (1993) Abnormalities of articular cartilage in the knee: analysis of available MR techniques. Radiology 187:473–478
Suzuki S, Awaya G, Okada Y, Maekawa M, Ikeda T, Tada H (1986) Arthroscopic diagnosis of ruptured acetabular labrum. Acta Orthop Scand 57:513–515
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Hasegawa, Y., Fukatsu, H., Matsuda, T. et al. Magnetic resonance imaging in osteoarthrosis of the dysplastic hip. Arch Orthop Trauma Surg 115, 243–248 (1996). https://doi.org/10.1007/BF00439047
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DOI: https://doi.org/10.1007/BF00439047