الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
MRI of the hip has become a valuable tool in assessing the
multiple potential causes of hip pain. MRI is an excellent noninvasive
modality for characterizing various disorders and assessing the full extent
of osseous, chondral and soft tissue involvement. MRI can also
demonstrate joint effusion, synovial proliferations, articular cartilage
abnormalities, subchondral bone, ligaments, muscles and juxta articular
soft tissue.
The aim of this study was to evaluate the diagnostic value of MRI
in assessment of painful hip joint.
This study included twenty five patients with painful hips, eighteen
were males (72%) and seven were females (28%) , their ages ranged from
15 to 75 years old with the mean age 45 years. The most frequently
involved age group was 15<25 years (24%) in both males and females.
In this study patients were classified according to the different
pathological entities ;predominance of inflammatory disease was noted in
11 patients(44%) distributed as Transient synovitis in 5 patients
(20%),Septic arthritis in 3 patients (12%), Osteoarthritis in 2 patients
(8%) and Bursitis in 1 patient (4%).
Based on the findings obtained by MRI, The final diagnoses of the
25 patients with abnormal scan were avascular necrosis i n 7 patient
(28%), transient synovitis in 5 patients (20%), septic arthritis in 3 patients
(12%), malignant neoplasm in 3 patients (12 %),osteoarthritis in 2
patients (8%), bone marrow contusion in 2 patients (8%), migratory
osteoporosis in 1 patients (4%) , bursitis in 1 patient (4%), and stress
fractures in 1 (4%) patients.
from this study we concluded that MRI is reliable imaging
modality in investigating hip pain. It is a noninvasive, accurate, safe and
Summary & Conclusion
106
effective method for assessing patients with painful hip of different
pathology. Additionally, MRI seems mandatory in case of suspected hip
disease with persistent symptoms and normal plain radiographs. We
recommend use of MRI in the early detection and staging of avascular
necrosis, evaluation of bone marrow and detecting marrow lesions,
bursitis, arthropathies, marrow replacement processes and occult fracture.
Use of IV gadolinium can be useful in evaluation of primary
musculoskeletal tumors, detect intraosseous spread within the marrow
and soft tissue infiltration and inflammatory conditions such as
osteomyelitis and septic arthritis.