Role of MRI in Screening of Non-Traumatic Pediatrics Hip Pain

Document Type : Original Article

Authors

Radiology Department, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.

https://doi.org/10.21608/aimj.2025.446655

Abstract

Background: The femoral head and acetabulum are the connecting elements between the axial skeleton and the lower extremities in the hip joint. A ball-and-socket synovial joint that is highly mobile and bears significant weight is the hip. Hip discomfort is a clinical issue that is frequently encountered and has a variety of causes.
Aim of the work: To evaluate the value of magnetic resonance imaging (MRI) as an imaging modality in children who present with non-traumatic hip pain, as well as its capacity to early-stage diagnose the cause of the pain and the MRI appearance of hip joint pathologies.
Patients and methods: This prospective study was carried out on 30 pediatric patients with non-traumatic hip pain, who were investigated using MRI for detection the cause of non-traumatic hip pain, referred from the outpatient pediatric clinic, orthopedic clinic, at Al-Zahraa hospitals. All patients underwent imaging procedure.
Results: 10 patients (33.3%) had normal findings, while 20 patients (66.7%) exhibited abnormal findings, including avascular necrosis (AVN) (n=5), transient synovitis (n=3), slipped capital femoral epiphysis with AVN on top (n=2), Slipped capital femoral epiphyses (n=2), and one case each of adductor muscle straining, aneursemal bone cyst, coxa vara deformity, iliac bone exostosis, juvnile idiopathic arthritis), perth's disease, proximal femoral focal deficiency and septic arthritis.  
Conclusions: A hip MRI is a non-invasive imaging technique that is well-accepted, accurate, and practicable for acute non-traumatic hip pain in minors.
 
 

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