Acute Osteochondral Injuries of the Hip

Acute osteochondral injuries of the hip are rare in the absence of associated dislocation. A series of cases is presented in which these injuries were sustained after relatively minor trauma to the hip. Radiologic studies revealed evidence of mild hip dysplasia and, in one case, an osteochondral fra...

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Bibliographic Details
Published in:Clinical nuclear medicine 2002-08, Vol.27 (8), p.547-549
Main Authors: BRUCE, WARWICK, HIGGS, ROBIN J.E. D, MUNIDASA, DUMINDA, HUNJAN, JASPAL S, VAN DER WALL, HANS
Format: Article
Language:English
Subjects:
Acetabulum - diagnostic imaging
Acetabulum - injuries
Adult
Biological and medical sciences
Female
Femoral Fractures - diagnosis
Femoral Fractures - etiology
Fractures, Bone - diagnosis
Fractures, Bone - etiology
Hip Dislocation, Congenital - complications
Humans
Injuries of the limb. Injuries of the spine
Ligaments, Articular - diagnostic imaging
Ligaments, Articular - injuries
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Radiography
Radionuclide Imaging
Traumas. Diseases due to physical agents
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Summary:Acute osteochondral injuries of the hip are rare in the absence of associated dislocation. A series of cases is presented in which these injuries were sustained after relatively minor trauma to the hip. Radiologic studies revealed evidence of mild hip dysplasia and, in one case, an osteochondral fracture of the right femoral head. Scintigraphy revealed the fracture and unexpected uptake in the acetabulum, which was subsequently confirmed as being due to labral tears or acetabular osteochondral injuries. In addition, the scan showed evidence of a possible avulsion-type injury of the iliofemoral ligament, suggesting the mechanism of subluxation.
ISSN:0363-9762
1536-0229
DOI:10.1097/00003072-200208000-00001