1. MRI Hip joint

2. Bony Anatomy Femur Femoral Head Femoral Neck Greater Trochanter
Lesser Trochanter
Gluteal Tuberosity
Acetabulum

3. Bony Anatomy Pelvic Girdle Lateral View Acetabulum
3 bones fused together
Ilium
Iliac fossa
Iliac Crest
ASIS
AIIS
PSIS
PIIS
Gluteal Lines
Greater Sciatic Notch
Lateral View

4. Bony Anatomy Ilium Iliac fossa Iliac Crest Iliac Tuberosity ASIS AIIS
PSIS
PIIS
Gluteal Lines
Medial View

5. Articulations of the Hip and Pelvis
Pubic Symphysis
Interpubic disk
Some movement

6. Articulations of the Hip and Pelvis
Pubic Symphysis
Sacroiliac Joints

7. Articulations of the Hip and Pelvis
Pubic Symphysis
Sacroiliac Joints
Hip Joints

8. Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle
Sacroiliac Joint
Sacrotuberous
Sacrospinous
Function of these two ligaments
Iliolumbar
Interosseous Sacroiliac

9. Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle
Sacroiliac Joint
Sacrotuberous
Sacrospinous
Function of these two ligaments
Iliolumbar
Interosseous Sacroiliac

10. Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle
Sacroiliac Joint
Sacrotuberous
Sacrospinous
Function of these two ligaments
Iliolumbar
Interosseous Sacroiliac
Dorsal Sacroiliac

11. Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle
Sacroiliac Joint
Hip Joint
Capsule
Three thickenings of the capsule
Iliofemoral
Pubofemoral
Ishiofemoral
Ligamentum Teres
Inguinal

12. Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle
Sacroiliac Joint
Hip Joint
Capsule
Three thickenings of the capsule
Iliofemoral
Pubofemoral
Ishiofemoral
Ligamentum Teres
Inguinal

13. Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle
Sacroiliac Joint
Hip Joint
Capsule
Three thickenings of the capsule
Iliofemoral
Pubofemoral
Ishiofemoral
Ligamentum Teres
Inguinal

14. Ligamentous and Cartilogenous Structures for the Hip and Pelvic Girdle
Sacroiliac Joint
Hip Joint
Capsule
Three thickenings of the capsule
Iliofemoral
Pubofemoral
Ishiofemoral
Ligamentum Teres
Inguinal

15. Hip Muscles Anterior Rectus Femoris Sartorius Iliopsoas Muscle Group
Iliacus
Psoas Major

16. Hip Muscles Anterior Rectus Femoris Sartorius Iliopsoas Muscle Group
Iliacus
Psoas Major

17. Hip Muscles Posterior Semimembranosus Semitendinosus Biceps Femoris
Gluteus Maximus

18. Hip Muscles Medial Adductor Brevis Adductor Longus Adductor Magnus
Pectineus
Gracilus

19. Hip Muscles Lateral Gluteus Medius Gluteus Minimus Tensor Fascia Lata
Six Intrinsic External Rotators
Periformis
Quadratus Femoris
Obturator Internus
Obturator Externus
Gemellua Superior
Gemellus Inferior

20. Hip Muscles Lateral Gluteus Medius Gluteus Minimus Tensor Fascia Lata
Six Intrinsic External Rotators
Periformis
Quadratus Femoris
Obturator Internus
Obturator Externus
Gemellua Superior
Gemellus Inferior

21. Femoral Triangle Borders Structures Superior Lateral Medial Posterior
Anterior
Structures

22. Movements of the Pelvis
Forward and Backward Tilt
Left and right Lateral Tilt
Left and Right Rotation

23. Indications Avascular necrosis Inflammatory arthritis Osteoarthritis
Bursitis
Traumatic Fracture
Stress Fracture
Pathologic Fracture
Tendonitis
Muscle Injury
Acetabular Labral Tear
Degenerative Disk Disease

24. Patient Preparation
Have the patient go to the toilet before the study
Explain the procedure to the patient
Offer the patient ear protectors or ear plugs
Have the patient undress except for underwear
Ask the patient to remove anything containing metal (hearing aids, hairpins, body jewelry, etc.)

25. Positioning Supine Body array coil (body coil, wraparound coil)
Cushion the legs with a small roll under the knees (do not elevate thethighs too much)
Have the patient cross the arms over the upper abdomen

26. Technique
1- Scout - localizer
Coronal plane
Axial plane

27. 2- Sequences (4)
1- coronal- STIR or T2
2-coronal- T1
3- axial T2
4- sagittalT1

28. Sequence 1 coronal across the femoral heads
(allow for an oblique presentation of the pelvis)
1-TIRM or STIR or T2-weighted, fat-saturated-or T1
Plane:- parallel femoral heads. Scan from ischium through pubic symphysis.
Slice thickness: 4mm T1 – 4-6 mm
Slice gap: 20% of slice thickness (!0.8mm or factor 1.2)
FOV: 350–380mm
Saturation slab: axial superior to the slices for saturation of the vessels

29. 1.5 and 1.0 T: — TR = 6500 — TE = 30–60 — TI = 140 — Flip angle 180°
For T2-weighted - fat saturation
TSE, FS:
— TR = 2000–3500
— TE = 100–120

30. Sequence2 axial across the femoral heads and acetabula
(caudad to the lower aspect of the greater trochanter)
1- T2-weighted
Plane:- parallel line bisecting lesser trochanters and/or acetabular roofs. Scan from iliac crests through lesser trochanter.
Slice thickness: 5–6mm
Slice gap: 20% of slice thickness (!1.0–1.2mm or factor 1.2)
FOV: approx. 350–380mm (possibly rectangular FOV), adjust
Saturation slab: axial (parallel) superior to the slices for saturation of the vessels

31. For T2-weighted - fat saturation
TSE, FS:
— TR = 2000–4000
— TE = 100–130

32. Sequence 3 sagittal across both femoral heads
1- T1-–weighted
Plane:- plane perpendicular to coronal plane. Scan from acetabulum through greater trochanter.
Slice thickness: 5–6mm
Slice gap: 0–20% of slice thickness (! 0–1.2mm or factor 0–1.2)
FOV: approx. 380–400mm
Saturation slab: axial superior to the slices for saturation of the vessels

33. T1
TR = 500–600
TE = 10–12

34. Tips & Tricks
Positioning aid:
Center on anterior inferior iliac spine
If the coronal images show vascular artifacts due to the iliac vessels, switching the phase encoding gradient to HF may help (with oversampling in order to avoid fold over)