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  • Print publication year: 2012
  • Online publication date: March 2012

Examination 2

Summary

Coronal T1-weighted MR left hip

Ligamentum teres. This strong ligament inserts into the fovea centralis of the femoral head along with important nutrient vessels.

Acetabular labrum. This incomplete fibrocartilaginous ring contributes to hip joint stability. It may undergo traumatic or degenerative tearing leading to hip pain, instability and mechanical symptoms such as clicking.

Gluteus medius tendon. This is an important abductor and lateral rotator of the hip that inserts upon the lateral and posterior facets of the greater trochanter.

Iliotibial band (ITB) or tract. This long dense fascial band is a continuation of the tensor fascia lata muscle. It may undergo friction with resultant thickening and inflammation as it passes over the greater trochanter, producing painful, proximal ITB friction syndrome.

Transverse part of the ilio-femoral ligament. The ilio-femoral ligament is a thickening of the joint capsule and is the strongest of the three hip ligaments, the other two being the ischio-femoral and pubo-femoral ligaments.

Cystogram

Right sacroiliac joint.

Right anterior inferior iliac spine.

Right superior pubic ramus.

Left obturator foramen.

Contrast in bladder.

Cystograms are performed by either hand injecting, or running in a contrast infusion through either a urethral or suprapubic catheter. Both antero-posterior (AP) and lateral views should be taken, and the bladder should be filled as much as a patient can tolerate.