• Published
    06-03-2024
  • Issue
    Vol: 28 Issue: 01, 2024
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ROLE OF MAGNETIC RESONANCE IMAGING IN EVALUATION OF PAINFUL HIP JOINT PATHOLOGIES- A STUDY AT SBKS MI &RC, VADODARA

  • Dr. Naman Mehta1, Dr.Kunal Solanki2*, Dr.Hence Ardeshna3

Keywords: Magnetic resonance imaging, Hip joint, Avascular necrosis of hip, Bone marrow edema, joint effusion, osteoid osteoma.

ABSTRACT:-
Introduction- Magnetic resonance imaging (MRI) is frequently employed for assessing painful hips when X-ray results show no abnormalities. MRI is the preferred diagnostic tool due to its superior capability to precisely evaluate articular cartilage, joint fluid, and adjacent soft tissues, which can be sources of hip pain. This imaging technique is particularly beneficial for early detection, facilitating prompt intervention and treatment of hip joint conditions. Material and Methods- A magnetic resonance imaging (MRI) study was carried out at Dhiraj Hospital, SBKS MI and RC, Sumandeep Vidyapeeth, Vadodara, involving 40 adult patients of both genders who presented with complaints of hip pain. The study utilized a PHILIPS 1.5 T MRI machine for imaging purposes. Result- Of the 40 cases the males are more commonly affected than females. Major age group affected was between 21 to 30 years of age. The commonest pathology was Avascular necrosis of femoral head seen in 13 patients (32.5%). Followed closely by fractures in the femur bone in 8 patients (20%) followed by changes of osteoarthritis in the hip joint in 7 patients (17.5%). Bone infarcts were seen 6 cases (15%) while hip joint infections and tumors were seen in 3 patients each (7.5%). Magnetic resonance imaging helps in diagnosing with better evaluation of articular and surrounding soft tissue extension. Conclusion- Among the 40 cases examined, males were more frequently affected than females. The primary age group affected was between 21 to 30 years old. The most common pathology observed was avascular necrosis of the femoral head, which was present in 13 patients (32.5%). This was closely followed by femur bone fractures in 8 patients (20%), and osteoarthritis changes in the hip joint in 7 patients (17.5%). Additionally, bone infarcts were detected in 6 cases (15%), while hip joint infections and tumors were each observed in 3 patients (7.5%). Magnetic resonance imaging proved instrumental in diagnosis, providing enhanced evaluation of articular and adjacent soft tissue involvement.