Magnetic Resonance Imaging of the Hip at 3 Tesla: Clinical Value in Femoroacetabular Impingement of the Hip and Current Concepts

Tallal Charles Mamisch; Bernd Bittersohl; Timothy Hughes; Young-Jo Kim; Goetz H. Welsch; Marcel Dudda; Klaus A. Siebenrock; Stefan Werlen; Siegfried Trattnig

doi:10.1055/s-0028-1083105

Seminars in Musculoskeletal Radiology, Inhaltsverzeichnis

Semin Musculoskelet Radiol 2008; 12(3): 212-222
DOI: 10.1055/s-0028-1083105

Magnetic Resonance Imaging of the Hip at 3 Tesla: Clinical Value in Femoroacetabular Impingement of the Hip and Current Concepts

Tallal Charles Mamisch¹ ^, ⁵ , Bernd Bittersohl¹ ^, ⁵ , Timothy Hughes² , Young-Jo Kim³ , Goetz H. Welsch⁴ , Marcel Dudda¹ ^, ⁵ , Klaus A. Siebenrock¹ , Stefan Werlen⁵ , Siegfried Trattnig⁴

¹Department of Orthopedic Surgery, University of Berne, Berne, Switzerland
²Siemens Medical Solutions, Erlangen, Germany
³Department of Orthopedic Surgery, Children's Hospital, Harvard Medical School, Boston, Massachusetts
⁴MR Center, Department of Radiology, Medical University of Vienna, Vienna, Austria
⁵Department of Radiology, Sonnenhof Clinics, Berne, Switzerland

Abstract

ABSTRACT

Magnetic resonance imaging (MRI) is the most promising noninvasive modality for hip joint evaluation, but it has limitations in diagnosing cartilage lesion and acetabular labrum changes, especially in early stages. This is significant due to superior outcome results of surgery intervention in hip dysplasia or femoroacetabular impingement in patients not exceeding early degeneration. This emphasizes the need for accurate and reproducible methods in evaluating cartilage structure. In this article, we discuss the impact of the most recent technological advance in MRI, namely the advantage of 3-T imaging, on diagnostic imaging of the hip. Limitations of standard imaging techniques are shown with emphasis on femoroacetabular impingement. Clinical imaging examples and biochemical techniques are presented that need to be further evaluated.

KEYWORDS

Hip - MRI - high field - FAI - cartilage - labrum

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Referenzen

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Tallal C MamischM.D.

Department of Orthopedic Surgery, University of Berne, Freiburgstrasse

CH-3010 Berne, Switzerland

eMail: mamisch@bwh.harvard.edu