MRI of the Hip for the Evaluation of Femoroacetabular Impingement; Past, Present, and Future

Overview

Journal J Magn Reson Imaging

Date 2014 Aug 27

PMID 25155435

Citations 12

Authors

Geoffrey M Riley

Emily J McWalter

Kathryn J Stevens

Marc R Safran

Riccardo Lattanzi

Garry E Gold

Affiliations

Soon will be listed here.

Abstract

The concept of femoroacetabular impingement (FAI) has, in a relatively short time, come to the forefront of orthopedic imaging. In just a few short years MRI findings that were in the past ascribed to degenerative change, normal variation, or other pathologies must now be described and included in radiology reports, as they have been shown, or are suspected to be related to, FAI. Crucial questions have come up in this time, including: what is the relationship of bony morphology to subsequent cartilage and labral damage, and most importantly, how is this morphology related to the development of osteoarthritis? In this review, we attempt to place a historical perspective on the controversy, provide guidelines for interpretation of MRI examinations of patients with suspected FAI, and offer a glimpse into the future of MRI of this complex condition.

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References

Wheaton A, Casey F, Gougoutas A, Dodge G, Borthakur A, Lonner J . Correlation of T1rho with fixed charge density in cartilage. J Magn Reson Imaging. 2004; 20(3):519-25. DOI: 10.1002/jmri.20148. View

Ng V, Arora N, Best T, Pan X, Ellis T . Efficacy of surgery for femoroacetabular impingement: a systematic review. Am J Sports Med. 2010; 38(11):2337-45. DOI: 10.1177/0363546510365530. View

Watanabe A, Boesch C, Siebenrock K, Obata T, Anderson S . T2 mapping of hip articular cartilage in healthy volunteers at 3T: a study of topographic variation. J Magn Reson Imaging. 2007; 26(1):165-71. DOI: 10.1002/jmri.21014. View

Blumenkrantz G, Majumdar S . Quantitative magnetic resonance imaging of articular cartilage in osteoarthritis. Eur Cell Mater. 2007; 13:76-86. DOI: 10.22203/ecm.v013a08. View

Yamamura M, Miki H, Nakamura N, Murai M, Yoshikawa H, Sugano N . Open-configuration MRI study of femoro-acetabular impingement. J Orthop Res. 2007; 25(12):1582-8. DOI: 10.1002/jor.20448. View

Leunig M, Beck M, Kalhor M, Kim Y, Werlen S, Ganz R . Fibrocystic changes at anterosuperior femoral neck: prevalence in hips with femoroacetabular impingement. Radiology. 2005; 236(1):237-46. DOI: 10.1148/radiol.2361040140. View

Gatehouse P, Thomas R, Robson M, Hamilton G, Herlihy A, Bydder G . Magnetic resonance imaging of the knee with ultrashort TE pulse sequences. Magn Reson Imaging. 2004; 22(8):1061-7. DOI: 10.1016/j.mri.2004.08.018. View

Studler U, Kalberer F, Leunig M, Zanetti M, Hodler J, Dora C . MR arthrography of the hip: differentiation between an anterior sublabral recess as a normal variant and a labral tear. Radiology. 2008; 249(3):947-54. DOI: 10.1148/radiol.2492080137. View

Ellermann J, Ziegler C, Nissi M, Goebel R, Hughes J, Benson M . Acetabular cartilage assessment in patients with femoroacetabular impingement by using T2* mapping with arthroscopic verification. Radiology. 2014; 271(2):512-23. DOI: 10.1148/radiol.13131837. View

10.

Williams A, Qian Y, Chu C . UTE-T2∗ mapping of human articular cartilage in vivo: a repeatability assessment. Osteoarthritis Cartilage. 2010; 19(1):84-8. PMC: 3098496. DOI: 10.1016/j.joca.2010.10.018. View

11.

Gold G, Pauly J, Macovski A, Herfkens R . MR spectroscopic imaging of collagen: tendons and knee menisci. Magn Reson Med. 1995; 34(5):647-54. DOI: 10.1002/mrm.1910340502. View

12.

Notzli H, Wyss T, Stoecklin C, Schmid M, Treiber K, Hodler J . The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br. 2002; 84(4):556-60. DOI: 10.1302/0301-620x.84b4.12014. View

13.

Hodler J, Yu J, Goodwin D, Haghighi P, Trudell D, Resnick D . MR arthrography of the hip: improved imaging of the acetabular labrum with histologic correlation in cadavers. AJR Am J Roentgenol. 1995; 165(4):887-91. DOI: 10.2214/ajr.165.4.7676987. View

14.

Nouh M, Schweitzer M, Rybak L, Cohen J . Femoroacetabular impingement: can the alpha angle be estimated?. AJR Am J Roentgenol. 2008; 190(5):1260-2. DOI: 10.2214/AJR.07.3258. View

15.

Toomayan G, Holman W, Major N, Kozlowicz S, Vail T . Sensitivity of MR arthrography in the evaluation of acetabular labral tears. AJR Am J Roentgenol. 2006; 186(2):449-53. DOI: 10.2214/AJR.04.1809. View

16.

Giaconi J, Link T, Vail T, Fisher Z, Hong R, Singh R . Morbidity of direct MR arthrography. AJR Am J Roentgenol. 2011; 196(4):868-74. DOI: 10.2214/AJR.10.5145. View

17.

Beck M, Leunig M, Parvizi J, Boutier V, Wyss D, Ganz R . Anterior femoroacetabular impingement: part II. Midterm results of surgical treatment. Clin Orthop Relat Res. 2004; (418):67-73. View

18.

Pollard T, McNally E, WILSON D, Wilson D, Madler B, Watson M . Localized cartilage assessment with three-dimensional dGEMRIC in asymptomatic hips with normal morphology and cam deformity. J Bone Joint Surg Am. 2010; 92(15):2557-69. DOI: 10.2106/JBJS.I.01200. View

19.

Dudda M, Albers C, Mamisch T, Werlen S, Beck M . Do normal radiographs exclude asphericity of the femoral head-neck junction?. Clin Orthop Relat Res. 2008; 467(3):651-9. PMC: 2635443. DOI: 10.1007/s11999-008-0617-5. View

20.

Nishii T, Sugano N, Sato Y, Tanaka H, Miki H, Yoshikawa H . Three-dimensional distribution of acetabular cartilage thickness in patients with hip dysplasia: a fully automated computational analysis of MR imaging. Osteoarthritis Cartilage. 2004; 12(8):650-7. DOI: 10.1016/j.joca.2004.04.009. View