Pain After Hip Arthroplasty: MR Imaging/Ultrasound Correlation

Meghan E Sahr; Theodore T Miller

doi:10.1016/j.mric.2023.01.005

Pain After Hip Arthroplasty: MR Imaging/Ultrasound Correlation

Magn Reson Imaging Clin N Am. 2023 May;31(2):215-238. doi: 10.1016/j.mric.2023.01.005. Epub 2023 Feb 20.

Authors

Meghan E Sahr¹, Theodore T Miller²

Affiliations

¹ Department of Radiology and Imaging, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA. Electronic address: sahrm@hss.edu.
² Department of Radiology and Imaging, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.

PMID: 37019547
DOI: 10.1016/j.mric.2023.01.005

Abstract

MR imaging and ultrasound (US) have complementary roles for the comprehensive assessment of painful hip arthroplasty. Both modalities demonstrate synovitis, periarticular fluid collections, tendon tears and impingement, and neurovascular impingement, often with features indicating the causative etiology. MR imaging assessment requires technical modifications to reduce metal artifact, such as multispectral imaging, and optimization of image quality, and a high-performance 1.5-T system. US images periarticular structures at high-spatial resolution without interference of metal artifact, permitting real-time dynamic evaluation, and is useful for procedure guidance. Bone complications (periprosthetic fracture, stress reaction, osteolysis, and component loosening) are well depicted on MR imaging.

Keywords: MRI; Multispectral imaging; Total hip arthroplasty; Ultrasound.

Publication types

Review

MeSH terms

Arthroplasty, Replacement, Hip* / adverse effects
Hip Prosthesis* / adverse effects
Humans
Magnetic Resonance Imaging / methods
Osteolysis* / etiology
Pain / complications
Ultrasonography