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Computed tomography arthrography (CTA) highly correlates with arthroscopy in detecting labral tears, especially in patients with positive impingement tests. CTA enables the acquisition of isotropic datasets with high spatial resolution within a single acquisition. However, the hip is a close-fitting, congruent, and nearly spherical joint, with relatively thin cartilage. We describe herein a simple and cost-effective method using traction for hip CTA, with axial manual distraction, that helps overcome the usual limitations, by widening the articular joint space and thus better delineating both acetabular and femoral cartilages.
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http://dx.doi.org/10.7759/cureus.67366 | DOI Listing |
Cureus
May 2025
Radiology, Clinique du Sport de Bordeaux Mérignac, Bordeaux, FRA.
Purpose: Femoro-acetabular impingement (FAI) is a possible mechanism for the development of early osteoarthritis. FAI occurs when there is a conflict between the rim of the acetabulum and the femoral neck, usually due to irregularities of the proximal femur or acetabulum. Our aims were to compare the diagnostic efficacy of computed tomography arthrography (CTA) without traction, CTA with traction, and magnetic resonance arthrography (MRA) for the detection and grading of chondral and labral lesions in patients with a clinically positive impingement test and to determine the correlation between imaging findings and arthroscopic data in patients who had undergone surgery.
View Article and Find Full Text PDFRadiographics
July 2025
From the Department of Musculoskeletal Radiology, Fleury Medicina e Saúde, Rua Mato Grosso, 306, Higienópolis, São Paulo, Brazil (J.B.G., P.H.C.A., M.A.S.R., I.A.N.C., L.R.M., M.A.C.N., A.G.O.F.); Department of Radiology, Diagnóstico Médico Cantabria (DMC), Santander, Cantabria, Spain (L.C.); D
Hip instability is defined generally as extraphysiologic femoroacetabular motion classically observed as a sequela of prior trauma, hip arthroplasty, and developmental hip dysplasia. However, new concepts regarding subtle forms of hip instability have gained importance in recent discussions and literature with the emergence of the term . It can manifest as apprehension, especially while descending stairs, deep hip pain, and/or groin pain.
View Article and Find Full Text PDFArthrosc Sports Med Rehabil
February 2025
Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, U.S.A.
Purpose: To evaluate the relation between zona orbicularis (ZO) thickness on magnetic resonance imaging and distractibility of the hip in patients undergoing hip arthroscopy.
Methods: We conducted a retrospective review of primary hip arthroscopy patients treated for femoroacetabular impingement syndrome from December 2021 to September 2022. Prior to arthroscopy, hips were subjected to 100 lb of force (lbf) with fluoroscopic images taken to calculate joint space and overall distraction distance.
J Clin Orthop Trauma
November 2024
Department of Orthopaedics, Hayatabad Medical Complex, Peshawar, Pakistan.
Hip arthroscopy has emerged as the primary surgical intervention for Femoroacetabular Impingement Syndrome (FAIS), a common cause of hip pain in young adults, particularly athletes. This narrative review examines the long-term outcomes, complications, and debates surrounding arthroscopic management of FAIS. Key findings include sustained improvements in patient-reported outcomes, return to sport, and functional recovery, particularly in younger patients and those with cam-type FAIS.
View Article and Find Full Text PDFDiagnostics (Basel)
September 2024
Department of Orthopaedic Surgery, Tokyo Medical University Ibaraki Medical Center, Ami 300-0395, Ibaraki, Japan.
Background/objectives: We previously reported that traction magnetic resonance imaging (MRI) of the elbow without arthrography increases the width of the radiocapitellar joint (RC) and improves articular cartilage visibility. However, the effects of axial traction on different age groups have not yet been evaluated. We hypothesized that the effect of traction would decrease as the participants' age increased.
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