Role of Magnetic Resonance Imaging in Evaluation of Hip and Groin Sports-Related Injuries

Abstract

Background: Magnetic Resonance Imaging (MRI) proved to be highly accurate imaging modality allows clear differentiation of the normal anatomic features of the hip. In addition to that it allows clear differentiation of the individual component of the normal joint from one another. The purpose of this work was to diagnose sports-related injuries of hip and groin using MR imaging with different sequences. Methods: This prospective study was carried out on59 athletic subjects presented clinically with different hip or groin joint complaints, both sexes within adult age. All patients were subjected to clinical examination, imaging (conventional radiography of both hips were performed mostly in antero-posterior and lateral views to detect fractures, dislocations, bony lesions or soft tissue swelling), MRI examinations and image analysis. Results: There was significant difference between MRI type of injuries and different age groups of studied sportive patient. MRI show lesion in 59 cases in comparison to X-ray which has less sensitivity as 46 case has negative results show lesions in MRI. Conclusions: MRI of the hip has established to be the gold standard for the diagnosis of sports-related hip and groin injuries in the setting of negative radiographs, also it can determine early signs of stress fracture before it appear in X-ray. so, more details about different lesions can be obtained from MRI and This help in accurate diagnosis, rapid treatment of different athlete lesions and determine time plane of returning to the sport by follow up imaging.