Correlation of hip arthroscopy findings and different MRI techniques. A review of 99 cases

Mitchell, B., Lee, B., Brukner, P., Cowan, S., Colson, E., Connell, D. and Mallara, F. (2003). Correlation of hip arthroscopy findings and different MRI techniques. A review of 99 cases. In: Journal of Science and Medicine in Sport; Proceedings 2003 Australian Conference of Science and Medicine in Sport Tackling the Barriers to Participation and Performance. 2003 Australian Conference of Science and Medicine in Sport Tackling the Barriers to Participation and Performance, Canberra, ACT, Australia, (92-92). 25-28 October, 2003. doi:10.1016/S1440-2440(03)80208-6


Author Mitchell, B.
Lee, B.
Brukner, P.
Cowan, S.
Colson, E.
Connell, D.
Mallara, F.
Title of paper Correlation of hip arthroscopy findings and different MRI techniques. A review of 99 cases
Conference name 2003 Australian Conference of Science and Medicine in Sport Tackling the Barriers to Participation and Performance
Conference location Canberra, ACT, Australia
Conference dates 25-28 October, 2003
Proceedings title Journal of Science and Medicine in Sport; Proceedings 2003 Australian Conference of Science and Medicine in Sport Tackling the Barriers to Participation and Performance   Check publisher's open access policy
Place of Publication Amsterdam, The Netherlands
Publisher Elsevier
Publication Year 2003
DOI 10.1016/S1440-2440(03)80208-6
ISSN 1440-2440
Volume 6
Issue 4: Supp. 1
Start page 92
End page 92
Total pages 1
Language eng
Abstract/Summary MR arthrography has been claimed to have a very high sensitivity and specificity for diagnosing intraarticular hip joint pathology. This claim has not been supported by clinical experience in Australia. (Mitchell et al 03) In an attempt to improve the performance of MRI, 2 new techniques were developed. This paper compares the 2 new techniques and traditional MR arthrography to hip arthroscopic findings. Further, intra and intertester reliability studies were completed for the new technique. These results are presented. Methodology: Details of patients who had undergone hip arthroscopy in the last 4 years were kept by the author. Those who were still contactable and signed consent forms were included in the study. The MRI and operative reports were compared. 3 different MRI techniques were used over this period of time. MR arthrography, FSE PD spins in traditional planes and FSE PD spins with a new plane at a right angle to the plane of the acetabulum. Results: Radial tears of the labrum were the best detected pathology overall, with 54% deected overall. Synovitis, however, (present in 48% of hips) was only detected 4% of the time. All 11 flap labral tears were missed.: For detecting pathology on the edge of the hip joint, MR arthrography had. a sensitivity of 45%, PD FSE in traditional planes 67% and the new technique with cuts in the plane of the hip joint had a sensitivity of 86%. Conclusion: MR arthrography is not as accurate as previously thought. PD FSE MR appears to have a far superior sensitivity.
Subjects 110604 Sports Medicine
Keyword Sports medicine
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status Unknown

 
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Created: Mon, 06 Apr 2009, 10:00:34 EST by Ms Karen Naughton on behalf of School of Human Movement and Nutrition Sciences