Imaging Hip Problems in Athletes - University of Wisconsin-Madison
Imaging Hip Problems in Athletes - University of Wisconsin-Madison Imaging Hip Problems in Athletes - University of Wisconsin-Madison
4/11/2011 Bursitis: iliopsoas Sport-related: overzealous hip flexion & extension Rowing, running uphill, competitive track/field, strength training Bursitis: Trochanteric IPT Bursa medial to IPT IPT Trochanteric bursa injection Gluteus minimus partial tear needle Greater trochanter Sagittal PD fat-suppressed Coronal PD fat-suppressed MUSCLE/TENDON INJURY Muscle/Tendon Injury Partial Tear Hamstring Origin 10
4/11/2011 Muscle/Tendon Injury Complete Hamstring Avulsion Muscle/Tendon Injury: Partial Tear Iliopsoas 10 y/o girl with left hip and groin pain after snowboarding injury Muscle/Tendon Injury Rectus femoris strain Ischiofemoral impingement •Impingement btwn ischium & lesser troch. –Described by Johnson in 1977 –Seen in pts with prior hip surgery (THA) –Pain relief after lesser troch. Excision •Consider in cases with MR signal abn. quadratus femoris Johnson KA. J Bone Joint Surg Am 1977;59:268 Torriani M et al. AJR 2009;193:186 Ischiofemoral impingement 32 y/o woman with hip and thigh pain ATHLETIC PUBALGIA 11
- Page 1 and 2: 4/11/2011 Part II: Imaging Hip Prob
- Page 3 and 4: 4/11/2011 Stress Fractures Femoral
- Page 5 and 6: 4/11/2011 Posterior Labral Tear & P
- Page 7 and 8: 4/11/2011 Mechanisms of Impingement
- Page 9: 4/11/2011 Iliacus Psoas Snapping Hi
- Page 13: 4/11/2011 Osteitis Pubis Adductor I
4/11/2011<br />
Muscle/Tendon Injury<br />
Complete Hamstr<strong>in</strong>g Avulsion<br />
Muscle/Tendon Injury:<br />
Partial Tear Iliopsoas<br />
10 y/o girl with left hip and gro<strong>in</strong> pa<strong>in</strong> after snowboard<strong>in</strong>g <strong>in</strong>jury<br />
Muscle/Tendon Injury<br />
Rectus femoris stra<strong>in</strong><br />
Ischi<strong>of</strong>emoral imp<strong>in</strong>gement<br />
•Imp<strong>in</strong>gement btwn ischium &<br />
lesser troch.<br />
–Described by Johnson <strong>in</strong> 1977<br />
–Seen <strong>in</strong> pts with prior hip<br />
surgery (THA)<br />
–Pa<strong>in</strong> relief after lesser troch.<br />
Excision<br />
•Consider <strong>in</strong> cases with MR<br />
signal abn. quadratus femoris<br />
Johnson KA. J Bone Jo<strong>in</strong>t Surg Am 1977;59:268<br />
Torriani M et al. AJR 2009;193:186<br />
Ischi<strong>of</strong>emoral imp<strong>in</strong>gement<br />
32 y/o woman with hip and thigh pa<strong>in</strong><br />
ATHLETIC<br />
PUBALGIA<br />
11
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