AdministratorCan FAI be seen on MRI?
MRI can be used for the differential diagnosis of hip pain, including stress fractures and avascular necrosis. Other extra-articular forms of hip impingement can mimic FAI, including subspinous, ischiofemoral, and iliopsoas impingement.
Does femoroacetabular impingement show on MRI?
MRI provides a useful assessment of patients in whom a femoroacetabular impingement is clinically suspected. A high-resolution, nonarthrographic technique can provide preoperative information regarding the presence and anatomic site of labral and cartilage abnormalities.
What is a pincer type deformity?
Pincer impingement involves excessive coverage of the femoral head by the acetabulum. With hip flexion motion, the neck of the femur bone “bumps” or impinges on the rim of the deep socket. This results in cartilage and labral damage.
Do plain radiographs correlate with CT for imaging of cam type femoroacetabular impingement?
Results: The complete radiographic series was 86% to 90% sensitive in detecting abnormal alpha angles on CT. The maximum alpha angle on plain radiographs was greater than that of CT reformats in 61% of cases. Exclusion of the crosstable lateral did not affect the sensitivity (86%-88%).
Can an MRI miss a hip labral tear?
However, it should be noted that hip labrum tears are difficult to image. In other words, the MRI with contrast may not show a tear even though it is present. This is referred to as a “false negative.” Dr.
What will an MRI show for hip pain?
An MRI can reveal fraying or tears of the cartilage and labrum. Sometimes it is necessary to find a way to differentiate pain radiating from the hip joint and pain radiating from the lower abdomen. To accomplish this, the hip can be injected with a steroid analgesic.
What is pincer type femoroacetabular impingement?
Pincer femoroacetabular impingement (FAI) consists of pathological contact between the acetabular labrum and rim and the femoral head-neck junction.
What causes pincer deformity?
Pincer impingement occurs when the acetabulum is excessively deep or covers too much of the femoral head. In the case of the latter, it often results from excess bone growth that extends out over the normal rim. The overhang can impinge the neck of the femur and tear labrum.
Do labral tears always show on MRI?
The sensitivity and specificity of MRI in diagnosing labral tears were 0.52 and 0.89, respectively. Conclusion: Non-contrast MRI is reliable only for diagnosing full thickness rotator cuff tears and anterior labral tears.
Do hip labral tears always show on MRI?
A “positive” MRI with contrast helps confirm the presence of the labrum tear and helps identify where the tear is located. However, it should be noted that hip labrum tears are difficult to image. In other words, the MRI with contrast may not show a tear even though it is present.
Can CT detect Cam and pincer femoroacetabular impingement?
The purpose of this study was to use CT to determine the presence of radiologic parameters associated with cam and pincer femoroacetabular impingement (FAI) in a young population without symptoms. MATERIALS AND METHODS.
What is the difference between an MRI and a CAT scan?
An MRI differs from a CAT scan (also called a CT scan or a computed axial tomography scan) because it does not use radiation. MRI scans are better for imaging water-containing tissue. An MRI can be better at detecting abnormalities of the spinal cord, bulging discs, small disc herniation’s, pinched nerves and other soft tissue problems.
What is the difference between a cam lesion and a pincer lesion?
In the cam lesion (femoral component of FAI) there is a decrease in the normal waist and hence asphericity at the femoral head-neck junction. The pincer lesion (acetabular component of FAI) results from focal or generalized overcoverage of the acetabulum.
What is the difference between a CT/PET and MRI/PET?
CT/PET machines have been in operation longer than MRI/PET machines, which are typically more costly. Although the first consideration is whether or not you need an MRI, your healthcare provider might have other reasons for choosing a CT/PET over an MRI/PET.