EFFICIENCY OF MAGNETIC-RESONANCE EXAMINATION IN THE DIAGNOSTICS OF INTRA-ARTICULAR SOFT TISSUE INJURIES IN EARLY STAGES OF COXARTHROSIS
DOI:
https://doi.org/10.11603/2415-8798.2018.1.8408Keywords:
diagnostics, MR I signs, intraarticular lesions, coxarthrosis.Abstract
In order to determine the diagnostic efficiency of MR I examination and pathognomonic MR I of symptom complexes characterizing intra-articular soft tissue injuries of the hip joint, a preoperative MR I examination of 105 patients with coxarthrosis of the stage I-II was performed, which was confirmed by arthroscopically method.
The aim of the study – to determine pathognomonic magneto-resonance-tomographic evidence-characterization of intra-articular musculoskeletal injuries of the hip joint.
Materials and Methods. A survey was conducted on 105 patients with coxarthrosis of the stage I-II with the identification of pathognomonic MR I symptom complexes characterizing intra-articular musculoskeletal injuries of the hip joint, who underwent arthroscopic surgical intervention on the basis of the Traumatological Department of M. Pyrohov Vinnytsia Regional Clinical Hospital in the period from 2006–2015. To assess the prevalence of MR I – signs in patients with intra-articular musculoskeletal injuries of the hip joint and the initial stages of coxarthrosis and their combination, a frequency analysis was performed.
Results and Discussion. The pathognomonic MR I-sign complexes characterizing the pincer-type of femoacetabular conflict (FAС) in the initial stages of coxarthrosis are determined. These include the combination of MR I-signs: degenerative changes (rupture) of the articular lip + bone changes in the pelvis at the base of the articular lip, degenerative changes (rupture) of the articular lip + bone changes in the femoral neck, bone changes in the hip at the base of the articular lip + bone changes in the femoral neck. The pathognomonic MR I-sign complexes characterizing the cam-type FAC in the initial stages of coxarthrosis are determined. These include the combination of MR I signs: degenerative changes (rupture) of the articular lip + angle of alpha more than 55º, degenerative changes (rupture) of the articular lip + bone changes in the femoral neck, bone changes in the femoral neck + angle of alpha greater than 55º. Post-traumatic lesion of articular lip and the presence of free articular bodies in the hip cavity were diagnosed in 100 % of cases with MR I-examination of patients.
Conclusions. The conducted statistical research proves the high diagnostic efficiency of MR I research in patients with intra-articular musculoskeletal injuries of the hip joint and the initial stages of osteoarthritis of the hip joint.
References
Badokin, V.V. (2010). Znacheniye vospaleniya v razvitii i techenii osteoartrozu [The importance of inflammation in the development and flow of osteoarthritis]. Zdorovia Ukrainy – Health of Ukraine, 19 (248), 26-28 [in Russian].
Berglezov, M.A., & Andreyeva, T.M. (2006). Osteoartroz (etiologiya, patogenez) [Osteoarthrosis (etiology, pathogenesis)]. Vestnik travmatologii i ortopedii im. N. N. Priorova – N. N. Priorov Bulletin of Traumatology and Orthopedics, 4, 79-86 [in Russian].
Dmitriyeva, L.A. (2007). Rol tsitokinov v patogeneze osteoartrozov (obzor literatury) [The role of cytokines in the pathogenesis of osteoarthrosis (literature review)]. Byull. VSNTS SO RAMN – Bull. VSSC of the RAMS, 56 (4), 165-169 [in Russian].
Lapach, S.N., Chubenko, A.V, & Babich, P.N. (2000). Statisticheskiye metody v biologicheskikh issledovaniyakh s ispolzovaniyem Excel [Statistical methods in biological research using Excel]. K. : «Morion», 320 s.
Mintser, O.P., Voronenko, Yu.V., & Vlasov, V.V. (2003). Informatsiini tekhnolohii v okhoroni zdorovia i praktychnii medytsyni : [u 10 kn.]. Obroblennia klinichnykh i yeksperimentalnykh danykh u medytsyni : navch. posiíb. [Information Technologies in Healthcare and Practical Medicine : [in 10 books]. Treatment of clinical and experimental data in medicine : Teaching manual, book]. K. : Vyshcha shkola, kn. 5, p. 350 [in Ukrainian].
Mironov, S.P., Omelianenko, N.P., & Orletskiy, A.K. (2001). Osteoartroz : Sovremennoye sostoyaniye problemy (analiticheskiy obzor) [Osteoarthrosis: Current state of the problem (analytical review)]. Vestn. travmatol. i ortoped. im. N. N. Priorova – N. N. Priorov Vestn. traumatol. and orthopedist., 2, 96-99 [in Russian].
Byrd, J.W., & Jones, K.S. (2000). Prospective analysis of hip arthroscopy. Arthroscopy, 2, 578-587.
Byrd, W.T. (2001). Operative hip arthroscopy. Stuttgart, Thilme, 213 p.
Dietrich, F., Ries, C., & Eiermann, C. (2014). Complications in hip arthroscopy : necessity of supervision during the learning curve. Knee Surg. Sports Traumatol. Arthrosc., 22, 953-958.
Ganz, R., Parvizi, J., & Beck, M. (2003). Femoroacetabular impingement : a cause for osteoarthritis of the hip. Clin. Orthop. Relat. Res., 417, 1-9.
Kelly, B.T., & Buly, R.L. (2005). Hip arthroscopy update. J. Hss., 1, 40-48.
Mc Carthy, J.C., & Lee, J.A. (2006). Hip arthroscopy : indications, outcomes, and complications. Instr. Course Lect., 55, 301-308.
Botser, I.B., Jr. Smith, T.W., & Nasser, R. (2011). Open surgical dislocation versus arthroscopy for femoroacetabular impingement: a comparison of clinical outcomes. Arthroscopy, 27, 270-278.
Philippon, M.J., Briggs, K.K., & Yen, Y.M. (2009). Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two-year follow-up. J. Bone Joint. Surg Br., 91, 16-23.
Kubiak-Langer, M., Tannast, M., & Murphy, S.B., (2007). Range of motion in anterior femoroacetabular impingement. Clin. Orthop. Relat. Res., 458, 117-124.
Downloads
Published
How to Cite
Issue
Section
License
Authors who sent their manuscript to "Вісник наукових досліджень. Bulletin of Scientific Research" Surgery agree to the following terms:
a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal. 
b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
