Czerny C, Chiari C, Nöbauer-Huhmann I
Abteilung für Neuroradiologie/Muskuloskelettale Radiologie, Universitätsklinik für Radiologie und Nuklearmedizin, AKH Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.
Universitätsklinik für Orthopädie, AKH Wien, Wien, Österreich.
Radiologe. 2019 Mar;59(3):234-241. doi: 10.1007/s00117-018-0471-8.
Magnetic resonance imaging (MRI) of the hip joint is performed for the diagnostics of many clinical pathologies. For clarification of pathologies of the hip joint conventional MRI and MR arthrography are used. The use of MRI either with or without the intravenous administration of contrast material is performed to diagnose bone marrow lesions, necrosis of the femoral head, inflammatory and tumorous lesions affecting the hip joint and its components. After the intra-articular administration of a diluted solution of contrast material, which results in distension of the joint, MR arthrography is performed for the diagnosis of intra-articular pathologies, such as lesions of the labrum acetabulare, chondral lesions and free intra-articular bodies. In recent times, MR arthrography is carried out with continuous traction of the limb to be examined because this leads to a distension of the joint and its components and in this way particularly lesions of the labrum with involvement of cartilage can be visualized even better. This article gives an overview of MRI and the accuracy of detecting lesions of the labrum acetabulare and the influence on the therapeutic approach.
髋关节的磁共振成像（MRI）用于诊断多种临床病症。为了明确髋关节的病症，会使用传统MRI和磁共振关节造影。使用MRI时，无论是否静脉注射造影剂，都是为了诊断骨髓病变、股骨头坏死、影响髋关节及其组成部分的炎性和肿瘤性病变。在关节内注射稀释的造影剂溶液使关节扩张后，进行磁共振关节造影以诊断关节内病症，如髋臼唇病变、软骨病变和关节内游离体。近年来，进行磁共振关节造影时会对被检查肢体进行持续牵引，因为这会导致关节及其组成部分扩张，这样一来，尤其是伴有软骨受累的髋臼唇病变能被更清晰地显示出来。本文概述了MRI以及检测髋臼唇病变的准确性及其对治疗方法的影响。
