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Abstract Chronic hip pain is a common problem in the adults. It can be caused by numerous causes including occult trauma, infection, arthropathies, neoplasms, avascular necrosis, transient osteoporosis, or other causes. Clinical data play an important role in evaluation of chronic hip pain. Routine radiographs are essential to plan further imaging studies. MRI, CT, ultrasonography, and radionuclide scans may all be used as second technique (Berquist et al., 2000). The imaging pathway for hip pain has evolved considerably with the advent of MRI. The latter has supplanted bone scintigraphy as the investigation of choice when occult fractures, bone marrow edema syndromes or avascular necrosis are suspected. MRI is also invaluable for evaluating synovial proliferative disorders of the hip such as pigmented villonodular synovitis and synovial osteochondromatosis. Furthermore by combining joint distension with multiplanar imaging, MR arthrography (MRA) allows detailed assessment of the acetabular labrum and cartilage (Fang and Teh, 2003). CT still has a lot to offer in musculoskeletal work, being the best modality for examining cortical bone, and remaining the cross-sectional imaging technique of choice where MRI is unavailable or cannot be performed, for example in claustrophobic patients or those fitted with cardiac pacemakers (Grainger and Allison, 1997). CT has a key role in delineating fractures and assessing the bony architecture of the hip (Fang and Teh, 2003). |