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Ranner, G; Ebner, F; Fotter, R; Linhart, W; Justich, E.
Magnetic resonance imaging in children with acute hip pain.
PEDIAT RADIOL. 1989; 20: 67-71. Doi: 10.1007/BF02010637
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Co-authors Med Uni Graz
Ebner Franz
Fotter Richard
Linhart Wolfgang
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Abstract:
45 children presenting with acute hip pain were prospectively evaluated with conventional radiography, radioisotope bone scan, and magnetic resonance imaging (MRI). The final diagnoses were transient synovitis (n = 17), septic arthritis (n = 2), Legg-Calve-Perthes disease (LCPD, n = 13), epiphyseal dysplasia (n = 2), other conditions (n = 4), and normal findings (n = 7). In the work-up MRI provided more morphologic information than other techniques and enlarged the diagnostic possibilities. It was the only imaging technique able to give an early indication of bone marrow involvement in systemic diseases. For the early diagnosis of LCPD, MRI was as sensitive as isotope bone scan and more precise than conventional radiography. In the follow-up of LCPD patients MRI was not able to indicate the start of revascularisation of the necrotic area, which bone scans showed reliably in six patients: but MRI provided excellent evaluation of the position, form and size of the femoral head and the surrounding soft tissues.
Find related publications in this database (using NLM MeSH Indexing)
Acute Disease -
Arthritis, Infectious - diagnosis
Child - diagnosis
Child, Preschool - diagnosis
Chondrodysplasia Punctata - diagnosis
Female - diagnosis
Femur Head Necrosis - diagnosis
Hip Joint - pathology
Humans - pathology
Legg-Perthes Disease - diagnosis
Magnetic Resonance Imaging - diagnosis
Male - diagnosis
Pain - etiology
Prospective Studies - etiology
Synovitis - diagnosis
Technetium Tc 99m Medronate - diagnostic use

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