Hip Injuries

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Extra resources for Hip Injuries

Example text

Normal MR anatomy. (A) Coronal T1 fat-saturated images of anterior aspect of the hip demonstrating iliofemoral ligament (arrows) and free edges of the anterior labrum superiorly (white arrowhead ) and inferiorly (black arrowhead ). The anterior labrum is better assessed on axial images. (B) Coronal T1 fat-saturated image of mid-hip with a normal triangular-shaped labrum (white arrow ) firmly attached to the acetabular rim. Inferomedially lies the transverse acetabular ligament (black arrow ), which should not be confused with a labral abnormality.

Third, there is, however, a small sublabral sulcus in the posterior inferior aspect of the labrum seen in many individuals that has been reported as normal findings, which our own clinical experience confirms [49]. Fourth, the labrum cartilage interface and zone of transition may have mild increased signal on nearly all sequences and should not be confused for a tear. This “cartilage undercutting” phenomenon is seen in the shoulder involving the glenoid labrum-cartilage interface as well [49,50].

In our experience, the presence of a small defect RADIOGRAPHIC & MR IMAGING OF THE ATHLETIC HIP 227 in the anterosuperior labroacetabular junction is usually considered a small partial detachment, because when probed arthroscopically, it appears unstable. Third, there is, however, a small sublabral sulcus in the posterior inferior aspect of the labrum seen in many individuals that has been reported as normal findings, which our own clinical experience confirms [49]. Fourth, the labrum cartilage interface and zone of transition may have mild increased signal on nearly all sequences and should not be confused for a tear.

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