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Semin Musculoskelet Radiol 2017; 21(03): 218-239
DOI: 10.1055/s-0037-1602411
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Hip and Pelvis: MRI of Musculotendinous Trauma and Mimickers

Ioannis Tsifountoudis
1   Department of Radiology, 424 General Military Hospital, Thessaloniki, Greece
,
Pantelis Kraniotis
2   Department of Radiology, University Hospital of Patras, Rio, Greece
,
Apostolos H. Karantanas
3   Departments of Radiology, University of Crete, and Medical Imaging, Heraklion University Hospital, Crete, Greece
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Publikationsdatum:
01. Juni 2017 (online)

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Abstract

The spectrum of disorders in musculotendinous trauma (MTt) includes acute traumatic and subacute/chronic lesions caused by repetitive microtrauma. The imaging findings differ in the immature versus the mature skeleton in both categories. Sport-related MTt also depends on age, sex, and type of activity. Magnetic resonance imaging (MRI) is the modality of choice for exploring most MTt injuries and is invaluable for assessing severity and for planning management and return to activity. In some circumstances such as minimally displaced avulsion injuries, MRI findings need to be matched with plain radiographs or computed tomography. Ultrasonography is helpful in exploring superficial structures such as tendons, particularly if dynamic studies are required. Rarely, inflammatory or neoplastic disorders may simulate MTt in the hip and pelvis.

Keywords

hip/joint - pelvis - musculotendinous trauma - MRI/diagnosis - sports injuries