Capsular thinning on magnetic resonance arthrography is associated with intra-operative hip joint laxity in women

Autor: Kotaro R Shibata, Robert D. Boutin, Michael L. Richardson, Jonathan D. Packer, Russell Stewart, Geoffrey M. Riley, Marc R. Safran, Michael J. Foster
Rok vydání: 2019
Předmět:
Zdroj: Journal of Hip Preservation Surgery
ISSN: 2054-8397
Popis: Hip microinstability is a recognized cause of hip pain in young patients. Intra-operative evaluation is used to confirm the diagnosis, but limited data exist associating magnetic resonance arthrography (MRA) findings with hip microinstability. To determine if a difference exists in the thickness of the anterior joint capsule and/or the width of the anterior joint recess on MRA in hip arthroscopy patients with and without an intra-operative diagnosis of hip laxity. Sixty-two hip arthroscopy patients were included in the study. Two musculoskeletal radiologists blinded to surgical results reviewed the MRAs for two previously described findings: (i) anterior joint capsule thinning; (ii) widening of the anterior joint recess distal to the zona orbicularis. Operative reports were reviewed for the diagnosis of joint laxity. In all patients with and without intra-operative laxity, there were no significant differences with either MRA measurement. However, twenty-six of 27 patients with intra-operative laxity were women compared with 11 of 35 patients without laxity (P
Databáze: OpenAIRE