scholarly journals A Boy with Limping and Hip Pain

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Kosar Asna Ashari ◽  
Mohamedreza Abdosalehi ◽  
Fatemeh Tahghighi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Gluteus Maximus ◽  
Hip Pain ◽  
Joint Effusion ◽  
Past Medical History ◽  
Resonance Imaging ◽  
Laboratory Findings ◽  
Magnetic Resonance Imaging Mri ◽  
Joint Laboratory

: We presented a 5-year-old boy with fever, limping, and hip pain for six days. There was no abnormal past medical history. He kept his left leg immobile and slightly flexed, and externally rotated in the hip joint. Laboratory findings showed leukocytosis and elevated ESR and CRP. Hip sonography was normal. Hip magnetic resonance imaging (MRI) found no joint effusion but elucidated signs of inflammation in muscles of the periarticular and proximal femoral area (iliopsoas and gluteus maximus), and no collection could be noticed. We provided a thorough discussion on differential diagnoses and approaches to the patient.

Role of MRI in Screening of Non-Traumatic Pediatrics Hip Pain

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Abeer Abd El Maksoud Hafez ◽  
Tarek Wahby Hameda ◽  
Ghadier Ibrahim Attia
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Hip Joint ◽  
Imaging Modality ◽  
Bone Cyst ◽  
Hip Pain ◽  
Joint Effusion ◽  
Resonance Imaging ◽  
University Hospitals ◽  
Great Ability

Abstract Background Magnetic resonance is the best imaging modality to assess hip joint in non-traumatic cases. It has a great ability to diagnose disorders of bone, cartilage, ligaments, muscles and soft tissue. MRI can also detect joint effusion and bone marrow edema. Aim of the Work: To assess the value of MRI as the imaging modality in children presenting with acute non-traumatic hip pain and its ability to assess the cause of the pain early without the use of another imaging modality. Patients and Methods A retrospective study was conducted on pediatric patients with non-traumatic hip pain, referred from the outpatient pediatric clinic, orthopedic clinic, Ain Shams University hospitals. The patients were investigated using magnetic resonance imaging (MRI) for detection the cause of non-traumatic hip pain. Results In this study we found that avascular necrosis is the commonest cause of non-traumatic hip pain followed by isolated hip effusion then synovitis. Other causes included perthes, septic arthritis, osteomyelitis, aneurysmal bone cyst, SCFE, PFFD and Osteomalacia. Magnetic resonance imaging doesn’t only demonstrate disorders of hip joint only; it also gives an accurate assessment of other extra-articular causes of referred hip pain. Conclusion Hip MRI is a practical, well accepted and accurate non-invasive imaging technique in children presenting with acute non-traumatic hip pain.

scholarly journals Assessment of irreducible aspects in developmental hip dysplasia by magnetic resonance imaging

2020 ◽  
Author(s):  
Huihui Jia ◽  
Liang Wang ◽  
Yan Chang ◽  
Yongrui Song ◽  
Yuqi Liu ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Treatment Strategies ◽  
Developmental Dysplasia ◽  
Joint Effusion ◽  
Iliopsoas Muscle ◽  
Resonance Imaging ◽  
Developmental Hip Dysplasia ◽  
Hip Reduction ◽  
Magnetic Resonance Imaging Mri

Abstract We aimed to assess the diagnostic capability of magnetic resonance imaging (MRI) for irreducible aspects preventing hip reduction in developmental dysplasia of the hip(DDH). With pathological results or intraoperative findings as the gold standard, the sensitivity and specificity of MRI were 90.3% and 83.3% for the affected labrum, 92% and 83.3% for thickening of the round ligament, 90.0% and 91.3% for atrophy of the iliopsoas muscle, and 100% and 100% for fibrofatty pulvinar tissue and joint effusion, respectively. The MRI showed an extraordinary capability of detecting these irreducible factors and helped surgeon choose the appropriate treatment strategies.

Magnetic Resonance Imaging of the Hand in Systemic Sclerosis

2009 ◽  
Vol 36 (5) ◽  
pp. 961-964 ◽  
Author(s):  
ANDREA H.L. LOW ◽  
MATTHEW LAX ◽  
SINDHU R. JOHNSON ◽  
PETER LEE
Keyword(s):  
Magnetic Resonance Imaging ◽  
Systemic Sclerosis ◽  
Magnetic Resonance ◽  
Accurate Diagnosis ◽  
Joint Effusion ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Bone Edema ◽  
Magnetic Resonance Imaging Mri

Objective.To evaluate the utility of magnetic resonance imaging (MRI) in systemic sclerosis (SSc)-associated arthropathy.Methods.MRI of the hand was performed in patients presenting with joint pain/swelling in order (1) to determine the frequency of inflammation on MRI, and (2) to compare MRI with radiography.Results.Of 17 patients with SSc, 10 (59%) had inflammatory MRI findings with synovitis (n = 8), erosions (n = 7), joint effusion (n = 7), or tenosynovitis (n = 8). Bone edema was present in 9 patients. Of 7 patients with MRI erosions, only 2 had radiographic erosions.Conclusion.Our study illustrates the usefulness of MRI in the accurate diagnosis and characterization of SSc-associated arthropathy.

Magnetic resonance imaging and diffusion‐weighted imaging in methylmalonic acidemia

2005 ◽  
Vol 46 (1) ◽  
pp. 101-103 ◽  
Author(s):  
A. Yeşildağ ◽  
A. Ayata ◽  
B. Baykal ◽  
M. Koroglu ◽  
H. Yıldız ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Diffusion Weighted Imaging ◽  
Methylmalonic Acidemia ◽  
Resonance Imaging ◽  
Laboratory Findings ◽  
Diffusion Weighted ◽  
Magnetic Resonance Imaging Mri ◽  
The Brain ◽  
And Diffusion

Methylmalonic acidemia (MMA) is an inborn disorder of amino acid metabolism, often presenting with neurological symptoms. We present the results of magnetic resonance imaging (MRI) and diffusion‐weighted imaging (DWI) of the brain in a 16‐month‐old male patient with classic neurological and laboratory findings for MMA. MRI demonstrated the hyperintensity within globi pallidi both on T2‐weighted image and DWI during the acute episode of metabolic acidosis.

scholarly journals Diffusion-weighted Magnetic Resonance Imaging in the Early Diagnosis of Neonatal Adrenoleukodystrophy

2011 ◽  
Vol 1 ◽  
pp. 20 ◽  
Author(s):  
R Nuri Sener ◽  
Mehmet H Atalar
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Diffusion Mri ◽  
Resonance Imaging ◽  
Baby Girl ◽  
Laboratory Findings ◽  
Neonatal Adrenoleukodystrophy ◽  
First Case ◽  
Weighted Magnetic Resonance Imaging ◽  
Magnetic Resonance Imaging Mri

A newborn baby girl developed seizures right after birth. On the fourth day, the baby was examined using diffusion sequence magnetic resonance imaging (MRI) and diagnosed to have neonatal adrenoleukodystrophy. Laboratory findings confirmed the diagnosis. This is the first case of neonatal adrenoleukodystrophy (NALD) where diffusion MRI sequence helped in the diagnosis. We find association of NALD with seizures at birth is an extremely rare occurrence, and so far, only one case has been mentioned in the literature.

Magnetic Resonance Imaging (MRI) of the Knee as an Outcome Measure in Juvenile Idiopathic Arthritis: An OMERACT Reliability Study on MRI Scales

2017 ◽  
Vol 44 (8) ◽  
pp. 1224-1230 ◽  
Author(s):  
Robert Hemke ◽  
Nikolay Tzaribachev ◽  
Charlotte M. Nusman ◽  
Marion A.J. van Rossum ◽  
Mario Maas ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Bone Marrow ◽  
Juvenile Idiopathic Arthritis ◽  
Magnetic Resonance ◽  
Joint Effusion ◽  
Resonance Imaging ◽  
Bone Erosions ◽  
Cartilage Lesions ◽  
Consensus Score ◽  
Magnetic Resonance Imaging Mri

Objective.There is increasing evidence that early therapeutic intervention improves longterm joint outcome in juvenile idiopathic arthritis (JIA). Given the existence of highly effective treatments, there is an urgent need for reliable and accurate measures of disease activity and joint damage in JIA. Our objective was to assess the reliability of 2 magnetic resonance imaging (MRI) scoring methods: the Juvenile Arthritis MRI Scoring (JAMRIS) system and the International Prophylaxis Study Group (IPSG) consensus score, for evaluating disease status of the knee in patients with JIA.Methods.Four international readers independently scored an MRI dataset of 25 JIA patients with clinical knee involvement. Synovial thickening, joint effusion, bone marrow changes, cartilage lesions, bone erosions, and subchondral cysts were scored using the JAMRIS and IPSG systems. Further, synovial enhancement, infrapatellar fat pad heterogeneity, tendinopathy, and enthesopathy were scored. Interreader reliability was analyzed by using the generalized κ, ICC, and the smallest detectable difference (SDD).Results.ICC regarding interreader reliability ranged from 0.33 (95% CI 0.12–0.52, SDD = 0.29) for enthesopathy up to 0.95 (95% CI 0.92–0.97, SDD = 3.19) for synovial thickening. Good interreader reliability was found concerning joint effusion (ICC 0.93, 95% CI 0.89–0.95, SDD = 0.51), synovial enhancement (ICC 0.90, 95% CI 0.85–0.94, SDD = 9.85), and bone marrow changes (ICC 0.87, 95% CI 0.80–0.92, SDD = 10.94). Moderate to substantial reliability was found concerning cartilage lesions and bone erosions (ICC 0.55–0.72, SDD 1.41–13.65).Conclusion.The preliminary results are promising for most of the scored JAMRIS and IPSG items. However, further refinement of the scoring system is warranted for unsatisfactorily reliable items such as bone erosions, cartilage lesions, and enthesopathy.

scholarly journals Development and Reliability of a Preliminary Foot Osteoarthritis Magnetic Resonance Imaging Score

2017 ◽  
Vol 44 (8) ◽  
pp. 1257-1264 ◽  
Author(s):  
Jill Halstead ◽  
Carmen Martín-Hervás ◽  
Elizabeth M.A. Hensor ◽  
Dennis McGonagle ◽  
Anne-Maree Keenan ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Soft Tissue ◽  
Joint Space ◽  
Joint Effusion ◽  
Measurement Properties ◽  
Anatomical Site ◽  
Resonance Imaging ◽  
Mri Features ◽  
Magnetic Resonance Imaging Mri

Objective.Foot osteoarthritis (OA) is very common but underinvestigated musculoskeletal condition and there is little consensus as to common magnetic resonance imaging (MRI) features. The aim of this study was to develop a preliminary foot OA MRI score (FOAMRIS) and evaluate its reliability.Methods.This preliminary semiquantitative score included the hindfoot, midfoot, and metatarsophalangeal joints. Joints were scored for joint space narrowing (JSN; 0–3), osteophytes (0–3), joint effusion/synovitis, and bone cysts (present/absent). Erosions and bone marrow lesions (BML) were scored (0–3) and BML were evaluated adjacent to entheses and at sub-tendon sites (present/absent). Additionally, tenosynovitis (0–3) and midfoot ligament pathology (present/absent) were scored. Reliability was evaluated in 15 people with foot pain and MRI-detected OA using 3.0T MRI multi-sequence protocols, and assessed using ICC as an overall score and per anatomical site.Results.Intrareader agreement (ICC) was generally good to excellent across the foot in joint features (JSN 0.90, osteophytes 0.90, effusion/synovitis 0.46, cysts 0.87), bone features (BML 0.83, erosion 0.66, BML entheses 0.66, BML sub-tendon 0.60) and soft tissue features (tenosynovitis 0.83, ligaments 0.77). Interreader agreement was lower for joint features (JSN 0.43, osteophytes 0.27, effusion/synovitis 0.02, cysts 0.48), bone features (BML 0.68, erosion 0.00, BML entheses 0.34, BML sub-tendon 0.13), and soft tissue features (tenosynovitis 0.35, ligaments 0.33).Conclusion.This preliminary FOAMRIS demonstrated good intrareader reliability and fair interreader reliability when assessing the total feature scores. Further development is required in cohorts with a range of pathologies and to assess the psychometric measurement properties.

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