MRI Hip Without and With IV Contrast Indirect arthrography is a technique that falls under the category of MRI hip with contrast. For performance of indirect MR arthrography, gadolinium chelate contrast is administered by IV injection and diffuses into the joint space through the synovium. This technique has been proposed as an alternative to direct MR arthrography for detecting intra-articular disorders [34,61-63] because it is faster and easier to perform than direct arthrography and does not require image guidance. However, indirect arthrography offers less consistent enhancement of the joint space and cannot distend the joint capsule. Although the literature is scant, there are a few small studies suggesting Chronic Hip Pain that indirect MR arthrography may be helpful in detecting labral pathology [83,84]. However, as the literature supporting indirect arthrography is very limited, it is a technique that is not often used clinically. MRI Hip Without IV Contrast MRI is currently the reference standard for evaluation of labral pathology [85]. For evaluating labral tears, MRI with or without arthrography can be used [76-79]. Several investigators suggest that high-resolution 3T MRI may improve the visualization of the acetabular labrum and the hyaline articular cartilage [69,70], which may obviate the need for intra-articular contrast [86]. Other investigators have obtained satisfactory results in detecting labral and hyaline cartilage lesions with high-resolution MRI of the hip at 1.5T without intra-articular contrast [58,68]. US Hip Although not as commonly used as MRI for the detection of labral pathology, US has been able to document the presence of labral tears in patients with hip pain [87,88]. However, it is not as sensitive as other modalities for detecting labral tears [17]. US can also be used to localize paralabral cysts for aspiration and injection [39,41]. Variant 5: Chronic hip pain. Radiographs equivocal or positive for mild osteoarthritis.
Chronic Hip Pain PCAs. MRI Hip Without and With IV Contrast Indirect arthrography is a technique that falls under the category of MRI hip with contrast. For performance of indirect MR arthrography, gadolinium chelate contrast is administered by IV injection and diffuses into the joint space through the synovium. This technique has been proposed as an alternative to direct MR arthrography for detecting intra-articular disorders [34,61-63] because it is faster and easier to perform than direct arthrography and does not require image guidance. However, indirect arthrography offers less consistent enhancement of the joint space and cannot distend the joint capsule. Although the literature is scant, there are a few small studies suggesting Chronic Hip Pain that indirect MR arthrography may be helpful in detecting labral pathology [83,84]. However, as the literature supporting indirect arthrography is very limited, it is a technique that is not often used clinically. MRI Hip Without IV Contrast MRI is currently the reference standard for evaluation of labral pathology [85]. For evaluating labral tears, MRI with or without arthrography can be used [76-79]. Several investigators suggest that high-resolution 3T MRI may improve the visualization of the acetabular labrum and the hyaline articular cartilage [69,70], which may obviate the need for intra-articular contrast [86]. Other investigators have obtained satisfactory results in detecting labral and hyaline cartilage lesions with high-resolution MRI of the hip at 1.5T without intra-articular contrast [58,68]. US Hip Although not as commonly used as MRI for the detection of labral pathology, US has been able to document the presence of labral tears in patients with hip pain [87,88]. However, it is not as sensitive as other modalities for detecting labral tears [17]. US can also be used to localize paralabral cysts for aspiration and injection [39,41]. Variant 5: Chronic hip pain. Radiographs equivocal or positive for mild osteoarthritis.