CT Arthrography Hip Some authors have shown that CT arthrography can be useful in the detection of acetabular labral tears [17,74], which may be associated with FAI, but other authors have shown that CT arthrography is not very good for the detection of labral tears [18]. CT Hip With IV Contrast There is no relevant literature to support the use of CT hip with IV contrast for the workup of an acetabular labral tear in a patient with chronic hip pain. CT Hip Without and With IV Contrast There is no relevant literature to support the use of CT hip without and with IV contrast for the workup of an acetabular labral tear in a patient with chronic hip pain. CT Hip Without IV Contrast Because of its inherent poor contrast resolution, there is no relevant literature supporting the use of CT hip without IV contrast for the workup of an acetabular labral tear in a patient with chronic hip pain. Fluoride PET/CT Skull Base to Mid-Thigh There is no relevant literature to support the use of fluoride PET/CT skull base to mid-thigh in the evaluation of chronic hip pain thought to be due to a labral tear. Image-Guided Anesthetic +/- Corticosteroid Injection Hip Joint or Surrounding Structures Diagnostic joint injections are safe and useful tools for confirming the etiology of pain, such as a labral tear or symptomatic paralabral cyst [20-22]. MR Arthrography Hip Direct MR arthrography, with the intraarticular injection of a 1:200 solution of gadolinium chelate in saline, has been established as a reliable technique for diagnosing acetabular labral tears [75-80] that are frequently associated with FAI [81,82]. MR arthrography has been shown to have a sensitivity of 94.5% and a specificity of 100% for the detection of labral tears [52]. Within some of the published literature, MR arthrography has often been demonstrated to be superior to CT arthrography and noncontrast MRI for evaluation of labral tears [18,56]. However, in other articles, CT arthrography and noncontrast MRI fare better [16,57-59].
Chronic Hip Pain PCAs. CT Arthrography Hip Some authors have shown that CT arthrography can be useful in the detection of acetabular labral tears [17,74], which may be associated with FAI, but other authors have shown that CT arthrography is not very good for the detection of labral tears [18]. CT Hip With IV Contrast There is no relevant literature to support the use of CT hip with IV contrast for the workup of an acetabular labral tear in a patient with chronic hip pain. CT Hip Without and With IV Contrast There is no relevant literature to support the use of CT hip without and with IV contrast for the workup of an acetabular labral tear in a patient with chronic hip pain. CT Hip Without IV Contrast Because of its inherent poor contrast resolution, there is no relevant literature supporting the use of CT hip without IV contrast for the workup of an acetabular labral tear in a patient with chronic hip pain. Fluoride PET/CT Skull Base to Mid-Thigh There is no relevant literature to support the use of fluoride PET/CT skull base to mid-thigh in the evaluation of chronic hip pain thought to be due to a labral tear. Image-Guided Anesthetic +/- Corticosteroid Injection Hip Joint or Surrounding Structures Diagnostic joint injections are safe and useful tools for confirming the etiology of pain, such as a labral tear or symptomatic paralabral cyst [20-22]. MR Arthrography Hip Direct MR arthrography, with the intraarticular injection of a 1:200 solution of gadolinium chelate in saline, has been established as a reliable technique for diagnosing acetabular labral tears [75-80] that are frequently associated with FAI [81,82]. MR arthrography has been shown to have a sensitivity of 94.5% and a specificity of 100% for the detection of labral tears [52]. Within some of the published literature, MR arthrography has often been demonstrated to be superior to CT arthrography and noncontrast MRI for evaluation of labral tears [18,56]. However, in other articles, CT arthrography and noncontrast MRI fare better [16,57-59].