Magnetic resonance imaging of occult fractures of the proximal femur

1994 ◽  
Vol 23 (1) ◽  
Author(s):  
Nogah Haramati ◽  
RonaldB. Staron ◽  
Charles Barax ◽  
Frieda Feldman
2013 ◽  
Vol 7 (1) ◽  
pp. 112-118 ◽  
Author(s):  
Mikio Kamimura ◽  
Yukio Nakamura ◽  
Shota Ikegami ◽  
Keijiro Mukaiyama ◽  
Shigeharu Uchiyama ◽  
...  

Objectives: The aim of this study was to investigate whether bone alterations detected by hip magnetic resonance imaging (MRI) were associated with subsequent primary hip OA. Methods: We enrolled 7 patients with hip joint pain from their first visit, at which hip joints were classified as grade 0 or I on the Kellgren-Lawrence grading scale. Plain radiographs and magnetic resonance imaging (MRI) were performed on all cases, and pain was assessed with the Denis pain scale. Average age, height, weight, body mass index, bone mineral density (L1-4), central edge angle, Sharp’s angle, and acetabular hip index were calculated. Results: Within two months of the onset of pain, 4 of the 7 cases showed broad bone signal changes, while 3 cases showed local signal changes in the proximal femur on hip MRI. Three to 6 months after the onset of pain, in all patients whose pain was much improved, plain radiographs showed progression to further-stage OA. Conclusion: Our findings suggest that bone abnormalities in the proximal femur might be involved in the pathogenesis of primary hip OA.


2013 ◽  
Vol 55 (3) ◽  
pp. 247-252
Author(s):  
M.D. Moreno-Ramos ◽  
M. Martínez-Hervás ◽  
P. Sanz-Rupp ◽  
J. Ramos-Medrano

2005 ◽  
Vol 46 (6) ◽  
pp. 636-644 ◽  
Author(s):  
T. Pudas ◽  
T. Hurme ◽  
K. Mattila ◽  
E. Svedström

Purpose: Magnetic resonance imaging (MRI) evaluation of pediatric elbow trauma with or without a visible fracture on radiography. Material and Methods: MRI was performed in the acute phase in 25 children with an elbow injury. Nine patients with an elbow effusion only on radiographs and 16 with a fracture or luxation seen on radiographs underwent subsequent MRI. No sedation was used. Results: MRI revealed eight occult fractures (89%) in seven out of nine patients who had only an effusion on radiographs. Based on MRI findings, septic arthritis was suspected in one patient. Two patients out of five with a supracondylar fracture on the radiograph had a cartilage lesion in the humerus. MRI depicted a 3-mm gap on the articular surface in two patients with a lateral condyle fracture, a more accurate fracture location in two patients than the radiographs, and an additional occult fracture in two patients. MRI showed a fracture not seen on radiographs in two of three patients with prior luxation. Conclusion: MRI is a sensitive and accurate method in the diagnosis of pediatric elbow injuries, especially when only an effusion is present on radiographs. Occult fractures are more common in pediatric patients with elbow injury than reported earlier.


1990 ◽  
Vol 10 (6) ◽  
pp. 800-804 ◽  
Author(s):  
George H. Thompson ◽  
Kam M. Wong ◽  
Richard M. Konsens ◽  
Shardul Vibhakar

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