Hip Joint Pathology: Clinical Presentation and Correlation Between Magnetic Resonance Arthrography, Ultrasound, and Arthroscopic Findings in 25 Consecutive Cases

Mitchell, Bruce, McCrory, Paul, Brukner, Peter, O'Donnell, John, Colson, Emma and Howells, Robert (2003) Hip Joint Pathology: Clinical Presentation and Correlation Between Magnetic Resonance Arthrography, Ultrasound, and Arthroscopic Findings in 25 Consecutive Cases. Clinical Journal of Sport Medicine, 13 3: 152-156. doi:10.1097/00042752-200305000-00005


Author Mitchell, Bruce
McCrory, Paul
Brukner, Peter
O'Donnell, John
Colson, Emma
Howells, Robert
Title Hip Joint Pathology: Clinical Presentation and Correlation Between Magnetic Resonance Arthrography, Ultrasound, and Arthroscopic Findings in 25 Consecutive Cases
Journal name Clinical Journal of Sport Medicine   Check publisher's open access policy
ISSN 1050-642X
Publication date 2003-05-01
Sub-type Article (original research)
DOI 10.1097/00042752-200305000-00005
Open Access Status Not yet assessed
Volume 13
Issue 3
Start page 152
End page 156
Total pages 5
Place of publication New York, NY
Publisher Raven Press
Language eng
Subject 110604 Sports Medicine
Abstract Background: The hip joint is becoming increasingly recognized as a source of groin pain and, in the authors' experience, buttock and low back pain. Objectives: To determine the range of pathologic diagnoses, clinical presentation, and the correlation between magnetic resonance arthrographic, ultrasonographic, and arthroscopic findings in the hip joint. Methods: We prospectively studied 25 consecutive hip arthroscopies to determine the range of pathologic diagnoses, clinical presentation, and the correlation between magnetic resonance arthrographic, ultrasonographic, and arthroscopic findings. Results: All of the hips arthroscoped had pathology. Back pain and hip pain were the 2 most common presentations. The only consistently positive clinical test result was a restricted and painful hip quadrant compared with the contralateral hip. Of the 17 patients whose flexion, abduction, external rotation (FABER) test results were reported at the time of examination, 15 (88%) were positive, and 2 (12%) negative. Plain radiographs were normal in all patients. All but 1 patient underwent magnetic resonance arthrography. Although specificity of 100% was achieved in our study, the sensitivity was significantly lower, with a relatively high number of false negatives. Hip arthroscopy proved the definitive diagnostic procedure for intraarticular pathology. Conclusions: Hip pathology, particularly labral pathology, may be more common than has been previously recognized. In those patients with chronic groin and low back pain, a high index of suspicion should be maintained. Clinical signs of a painful, restricted hip quadrant and a positive FABER test result should suggest magnetic resonance arthrography in the first instance, but a negative magnetic resonance image should not preclude hip arthroscopy if there is high clinical suspicion of hip joint pathology.
Keyword Sports medicine
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement and Nutrition Sciences Publications
 
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Created: Wed, 01 Apr 2009, 01:23:52 EST by Ms Karen Naughton on behalf of School of Human Movement and Nutrition Sciences