Best Practice Case Studies-Case 137 Asset 2 MRI Imaging of the Hip and Knee

Video Transcription

Video Summary

The lecture reviewed MRI interpretation of the hip and knee for sports medicine fellows, emphasizing how to recognize normal anatomy and common pathology across key sequences. Dr. Faraji explained that fat-suppressed T2/PD sequences highlight fluid, edema, fractures, and tears, while T1 sequences better show anatomy, fat planes, marrow, nerves, and infection or tumor characterization.<br /><br />Hip topics included protocol selection: small field-of-view FAI/labral studies for younger patients and larger field-of-view fracture/AVN protocols for older patients or broader pathology. He covered cam and pincer femoroacetabular impingement, alpha angle measurement, labral tears, cartilage loss, avascular necrosis and the double-line sign, gluteus medius/minimus tendinopathy and tears, trochanteric bursitis, athletic pubalgia versus osteitis pubis, muscle strain grading, and occult/stress fractures.<br /><br />Knee topics included sagittal/coronal anatomy, meniscal tear criteria, posterior root tears, ACL injury with the pivot-shift bone bruise pattern, MCL injury, transient lateral patellar dislocation with MPFL injury, TTTG measurement, and Hoffa fat pad edema as a sign of patellofemoral maltracking.<br /><br />He concluded with practical imaging tips, including when 3T MRI may substitute for arthrography, and shared educational resources for further MSK radiology learning.

Meta Tag

Edition 4th Edition

Related Case 4th Edition, Case 137

Topic Infectious Disease

Keywords

4th Edition

4th Edition, Case 137

Infectious Disease

MRI hip interpretation

MRI knee interpretation

fat-suppressed T2 sequences

T1 sequences

femoroacetabular impingement

labral tears

avascular necrosis

meniscal tear criteria

ACL injury