MRI of Labral and Chondral Lesions of the Hip

AJR Am J Roentgenol. 2015 Sep;205(3):479-90. doi: 10.2214/AJR.14.12581.

Abstract

Objective: Unenhanced MRI, indirect MR arthrography, and direct MR arthrography have been used in the radiologic evaluation of patients with suspected labral tears and chondral lesions of the hip. The purpose of this article is to examine the existing evidence for the use of these techniques in patients with hip pain and suspected labral or chondral abnormalities.

Conclusion: Evidence from a review of the radiologic literature supports the use of direct MR arthrography over unenhanced MRI and indirect MR arthrography for the detection of labral and cartilage abnormalities in the hip. Although high-resolution unenhanced 3-T MRI appears promising, limited information in the literature supports its use in the detection and characterization of chondrolabral lesions.

Keywords: MR arthrography; MRI; acetabular labrum; cartilage; hip; unenhanced MRI.

Publication types

  • Review

MeSH terms

  • Acetabulum / pathology*
  • Cartilage, Articular / pathology*
  • Contrast Media
  • Hip Injuries / diagnosis*
  • Hip Joint / pathology*
  • Humans
  • Magnetic Resonance Imaging / methods*

Substances

  • Contrast Media