Semin Musculoskelet Radiol 2019; 23(03): e17-e36
DOI: 10.1055/s-0039-1688696
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Imaging of Articular and Extra-articular Sports Injuries of the Hip

Igor Boric*
1   Radiology, St Catherine Hospital and University of Zagreb, Croatia
,
Amanda Isaac
2   Radiology, Guy's and St Thomas' NHS Foundation Trust and Kings College London, London, United Kingdom
,
Danoob Dalili
2   Radiology, Guy's and St Thomas' NHS Foundation Trust and Kings College London, London, United Kingdom
5   Department of Radiology, Johns Hopkins School of Medicine, Baltimore, Maryland
,
Michel Ouchinsky
3   Orthopaedics and Sports Traumatology, Hôpitaux Iris Sud, Université Libre de Bruxelles, Brussels, Belgium
,
Michel De Maeseneer
4   Radiology, UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium
,
Maryam Shahabpour*
4   Radiology, UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium
› Author Affiliations
Further Information

Publication History

Publication Date:
04 June 2019 (online)

Abstract

Sports-related articular and periarticular hip injuries are common in athletes. Knowledge of patient complaints and clinical findings are crucial for adequate interpretation of imaging examinations. However, asymptomatic athletes can present abnormal imaging findings, and clinical presentation of hip injuries may be nonspecific. Therefore, a thorough examination of the hip and surrounding soft tissue images is essential.

This review describes the intra-articular pathologies encountered in sports activities including labrum or cartilage lesions, associated or not with femoroacetabular hip impingement syndromes, as well as ligament teres injuries, using magnetic resonance imaging (MRI) or computed tomography arthrography. Different causes of snapping hip syndrome (from intra- and extra-articular origins) are also discussed and illustrated. The extra-articular forms of hip impingement syndromes including ischiofemoral and subspine impingement are depicted with MRI and ultrasound. Diagnostic imaging of bone avulsions, greater trochanteric syndrome, athletic pubalgia, and myotendinous injuries is also described.

* Igor Boric and Maryam Shahabpour contributed equally to this work.


 
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