Inflammatory Conditions of the Hip

Claudia Schueller-Weidekamm; James Teh

doi:10.1055/s-0037-1606138

Seminars in Musculoskeletal Radiology, Table of Contents

Semin Musculoskelet Radiol 2017; 21(05): 589-603
DOI: 10.1055/s-0037-1606138

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Inflammatory Conditions of the Hip

Claudia Schueller-Weidekamm

¹Division of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging und Image-guided Therapy, Medical University of Vienna/Vienna General Hospital, Vienna, Austria

,

James Teh

²Department of Radiology, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Headington, Oxford, United Kingdom

› Author Affiliations

Abstract

Most cases of adult hip pain are related to osteoarthritis, so inflammatory causes are often not considered. This review article describes the different entities of hip inflammation and provides an approach on how to differentiate rheumatologic disorders from degenerative changes, synovial tumors, and infection. Indications for imaging, the correct choice of imaging modality, and scanning protocols are also discussed. The differential diagnosis of inflammatory lesions of the hips is addressed in the context of image interpretation.

Keywords

hip joint - magnetic resonance imaging - inflammation - diagnosis

Full Text

References

References
1 Schueller-Weidekamm C, Mascarenhas VV, Sudol-Szopinska I. , et al. Imaging and interpretation of axial spondylarthritis: the radiologist's perspective—consensus of the Arthritis Subcommittee of the ESSR. Semin Musculoskelet Radiol 2014; 18 (03) 265-279
2 Mandl P, Navarro-Compán V, Terslev L. , et al; European League Against Rheumatism (EULAR). EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice. Ann Rheum Dis 2015; 74 (07) 1327-1339
3 MacKay K, Brophy S, Mack C, Doran M, Calin A. The development and validation of a radiographic grading system for the hip in ankylosing spondylitis: the bath ankylosing spondylitis radiology hip index. J Rheumatol 2000; 27 (12) 2866-2872
4 Plagou A, Teh J, Grainger AJ. , et al. Recommendations of the ESSR Arthritis Subcommittee on Ultrasonography in Inflammatory Joint Disease. Semin Musculoskelet Radiol 2016; 20 (05) 496-506
5 Naredo E, Bonilla G, Gamero F, Uson J, Carmona L, Laffon A. Assessment of inflammatory activity in rheumatoid arthritis: a comparative study of clinical evaluation with grey scale and power Doppler ultrasonography. Ann Rheum Dis 2005; 64 (03) 375-381
6 Huang ZG, Zhang XZ, Hong W. , et al. The application of MR imaging in the detection of hip involvement in patients with ankylosing spondylitis. Eur J Radiol 2013; 82 (09) 1487-1493
7 Sudoł-Szopińska I, Jurik AG, Eshed I. , et al. Recommendations of the ESSR Arthritis Subcommittee for the use of magnetic resonance imaging in musculoskeletal rheumatic diseases. Semin Musculoskelet Radiol 2015; 19 (04) 396-411
8 Gruber M, Bodner G, Rath E, Supp G, Weber M, Schueller-Weidekamm C. Dual-energy computed tomography compared with ultrasound in the diagnosis of gout. Rheumatology (Oxford) 2014; 53 (01) 173-179
9 Miller E, Uleryk E, Doria AS. Evidence-based outcomes of studies addressing diagnostic accuracy of MRI of juvenile idiopathic arthritis. AJR Am J Roentgenol 2009; 192 (05) 1209-1218
10 Abd El-Azeem MI, Taha HA, El-Sherif AM. Role of MRI in evaluation of hip joint involvement in juvenile idiopathic arthritis. Egypt Rheumatol 2012; 34 (02) 75-82
11 Nistala K, Babar J, Johnson K. , et al. Clinical assessment and core outcome variables are poor predictors of hip arthritis diagnosed by MRI in juvenile idiopathic arthritis. Rheumatology (Oxford) 2007; 46 (04) 699-702
12 McQueen FM. Bone marrow edema and osteitis in rheumatoid arthritis: the imaging perspective. Arthritis Res Ther 2012; 14 (05) 224
13 Popovich I, Lee AC, Doyle A. , et al. A comparative MRI study of cartilage damage in gout versus rheumatoid arthritis. J Med Imaging Radiat Oncol 2015; 59 (04) 431-435
14 Pfirrmann CW, Chung CB, Theumann NH, Trudell DJ, Resnick D. Greater trochanter of the hip: attachment of the abductor mechanism and a complex of three bursae—MR imaging and MR bursography in cadavers and MR imaging in asymptomatic volunteers. Radiology 2001; 221 (02) 469-477
15 Mamisch TC, Zilkens C, Siebenrock KA, Bittersohl B, Kim YJ, Werlen S. MRI of hip osteoarthritis and implications for surgery. Magn Reson Imaging Clin N Am 2010; 18 (01) 111-120
16 Aletaha D, Funovits J, Smolen JS. Physical disability in rheumatoid arthritis is associated with cartilage damage rather than bone destruction. Ann Rheum Dis 2011; 70 (05) 733-739
17 Chen HA, Chen CH, Liao HT. , et al. Factors associated with radiographic spinal involvement and hip involvement in ankylosing spondylitis. Semin Arthritis Rheum 2011; 40 (06) 552-558
18 Sieper J, Braun J, Rudwaleit M, Boonen A, Zink A. Ankylosing spondylitis: an overview. Ann Rheum Dis 2002; 61 (03) (Suppl. 03) iii8-iii18
19 Jang JH, Ward MM, Rucker AN. , et al. Ankylosing spondylitis: patterns of radiographic involvement—a re-examination of accepted principles in a cohort of 769 patients. Radiology 2011; 258 (01) 192-198
20 Michet CJ, Mason TG, Mazlumzadeh M. Hip joint disease in psoriatic arthritis: risk factors and natural history. Ann Rheum Dis 2005; 64 (07) 1068-1070
21 Hemke R, Nusman CM, van der Heijde DM. , et al. Frequency of joint involvement in juvenile idiopathic arthritis during a 5-year follow-up of newly diagnosed patients: implications for MR imaging as outcome measure. Rheumatol Int 2015; 35 (02) 351-357
22 Hemke R, Kuijpers TW, Nusman CM. , et al. Contrast-enhanced MRI features in the early diagnosis of juvenile idiopathic arthritis. Eur Radiol 2015; 25 (11) 3222-3229
23 Spencer CH, Bernstein BH. Hip disease in juvenile rheumatoid arthritis. Curr Opin Rheumatol 2002; 14 (05) 536-541
24 Kirkhus E, Flatø B, Riise O, Reiseter T, Smith HJ. Differences in MRI findings between subgroups of recent-onset childhood arthritis. Pediatr Radiol 2011; 41 (04) 432-440
25 Raman D, Haslock I. Trochanteric bursitis—a frequent cause of ‘hip’ pain in rheumatoid arthritis. Ann Rheum Dis 1982; 41 (06) 602-603
26 Lupetin AR, Daffner RH. Rheumatoid iliopsoas bursitis: MR findings. J Comput Assist Tomogr 1990; 14 (06) 1035-1036
27 Edwards CJ, Williams E. The role of interleukin-6 in rheumatoid arthritis-associated osteoporosis. Osteoporos Int 2010; 21 (08) 1287-1293
28 Dasgupta B, Cimmino MA, Maradit-Kremers H. , et al. 2012 provisional classification criteria for polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative. Ann Rheum Dis 2012; 71 (04) 484-492
29 Ochi J, Nozaki T, Okada M. , et al. MRI findings of the shoulder and hip joint in patients with polymyalgia rheumatica. Mod Rheumatol 2015; 25 (05) 761-767
30 Camellino D, Cimmino MA. Imaging of polymyalgia rheumatica: indications on its pathogenesis, diagnosis and prognosis. Rheumatology (Oxford) 2012; 51 (01) 77-86
31 Cantini F, Niccoli L, Nannini C. , et al. Inflammatory changes of hip synovial structures in polymyalgia rheumatica. Clin Exp Rheumatol 2005; 23 (04) 462-468
32 Steinbach LS. Calcium pyrophosphate dihydrate and calcium hydroxyapatite crystal deposition diseases: imaging perspectives. Radiol Clin North Am 2004; 42 (01) 185-205 , vii
33 Felson DT. An update on the pathogenesis and epidemiology of osteoarthritis. Radiol Clin North Am 2004; 42 (01) 1-9 , v
34 Teichtahl AJ, Wang Y, Smith S. , et al. Structural changes of hip osteoarthritis using magnetic resonance imaging. Arthritis Res Ther 2014; 16 (05) 466
35 Kim YJ, Bixby S, Mamisch TC, Clohisy JC, Carlisle JC. Imaging structural abnormalities in the hip joint: instability and impingement as a cause of osteoarthritis. Semin Musculoskelet Radiol 2008; 12 (04) 334-345
36 Bancroft LW, Peterson JJ, Kransdorf MJ. MR imaging of tumors and tumor-like lesions of the hip. Magn Reson Imaging Clin N Am 2005; 13 (04) 757-774
37 Vande Berg BC, Lecouvet FE, Koutaissoff S, Simoni P, Malghem J. Bone marrow edema of the femoral head and transient osteoporosis of the hip. Eur J Radiol 2008; 67 (01) 68-77
38 McBryde Jr AM. Benign (intracapsular) tumors of the hip. Curr Pract Orthop Surg 1977; 7: 154-178