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A Systematic Approach to Magnetic Resonance Imaging Interpretation of Sports Medicine Injuries of the Hip

A systematic approach to interpretation of magnetic resonance imaging of the hip and pelvis can facilitate identifying imaging findings that correlate with the clinical history and physical examination.This systematic approach flows outside-to-inside. Images with a large field of view are used for internal (i.e., side-to-side) comparison of the pelvic musculature, bursae, abdominal wall, and pelvic bones as would be done during the interpretation of a pelvic radiograph. Images with a small field of view are then used for the inspection of bursae, bone, capsule, labrum, and articular cartilage.If a reasonable diagnosis is not found through a systematic approach to a hip magnetic resonance image, it is advised to further direct the search pattern by incorporating the clinical information or directing attention to visceral, gynecologic, or urologic pathology that can refer pain to the groin and mimic internal derangement of the hip.