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A. Radiologic Perspective: Magnetic Resonance Imaging of the Athlete with Hip and Groin Pain

B. Orthopedic Perspective: Hip Magnetic Resonance Imaging

  • Chapter
Magnetic Resonance Imaging in Orthopedic Sports Medicine

As magnetic resonance (MR) has become increasingly more popular for assessment of hip and groin pain, our knowledge of the many pathologic conditions affecting the hip and pelvis has grown. Magnetic resonance has contributed significantly to our understanding of sports-related injuries as well as to underlying conditions such as femoroacetabular impingement, which can lead to pain and limited range of motion.

Localization of pain originating from the hip or pelvis is clinically difficult. Patients present with nonspecific complaints of hip pain, groin pain, pelvic pain, and even medial knee pain. As discussed in the previous chapter, the differential diagnosis includes internal derangements of the hip, femoroacetabular impingement, loose bodies, bursitis, stress injuries and stress fractures, musculotendinous injuries, tendon avulsions, sports hernias, as well as nerve injury, arthritis, and infection. The site of injury may be the hip joint, the symphysis pubis, the sacroiliac joint, the many sites of tendon origin and insertion, as well as the anterior abdominal wall and inguinal canal. The athletes most at risk for these injuries are those engaged in sports such as soccer, ice hockey, and track—sports that involve kicking, sprinting, and pivoting.

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Authors and Affiliations

  1. Departments of Radiology and Orthopedic Surgery, Case Western Reserve University School of Medicine; Marymount Hospital, Cleveland Clinic Health System, Cleveland, OH, USA

    Cheryl A. Petersilge

  2. Southern California Orthopedic Institute, Van Nuys, CA, USA

    Carlos A. Guanche

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  1. Department of Orthopaedics and Sports Medicine, University of South Florida College of Medicine, Tampa, FL, USA

    Robert A. Pedowitz MD, PhD

  2. Department of Radiology, University of California, San Diego, CA, USA

    Christine B. Chung MD  & Donald Resnick MD  & 

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Petersilge, C.A., Guanche, C.A. (2008). Hip. In: Pedowitz, R.A., Chung, C.B., Resnick, D. (eds) Magnetic Resonance Imaging in Orthopedic Sports Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-48898-1_9

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