Hip-spine syndrome from the perspective of radiology: correlations between hip joint disease and lumbar spine MRI findings.

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Acta radiologica Pub Date : 2025-03-01 Epub Date: 2025-01-28 DOI:10.1177/02841851241300329
Haibin Pan, MingLiang Wang, Jianyan Tang, Shiming Wu, YueHua Li, Xiaobing Li
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Abstract

BackgroundHip joint (HJ) pain, which may be caused by lumbar disease, is a common complaint.PurposeTo investigate the prevalence and specific correlations between various HJ diseases and lumbar spine magnetic resonance imaging (MRI) findings in patients with HJ pain.Material and MethodsPatients with the chief complaint of HJ pain who had both HJ MRI and lumbar MRI were retrospectively included. According to the existence of HJ disease, patients were divided into the following groups: non-HJ disease; osteoarthritis (OA); femoroacetabular impingement (FAI); ischiofemoral impingement (IFI); greater trochanter pain syndrome (GTPS); and other diseases. The prevalence of major lumbar MRI findings was compared. Correlations between HJ disease and major lumbar MR findings were explored.ResultsA total of 585 patients were included, of which 566 (96.8%) had major findings on lumbar MRI. The HJ disease group was more likely to be female and had more spondylolisthesis, while the non-HJ disease group had more low back or leg pain. The OA group was older and correlated with lumbar spinal stenosis (contingency coefficient = 0.164) and spondylolisthesis (contingency coefficient = 0.095). The FAI group was younger, had more male patients, and correlated with lumbosacral transitional vertebrae (contingency coefficient = 0.122). The IFI group was older, had more female patients, and correlated with facet joint osteoarthritis (contingency coefficient = 0.168). The GTPS group was older, had more female patients, and correlated with spondylolisthesis (contingency coefficient = 0.097).ConclusionMajor lumbar MRI findings were frequently observed in patients with hip pain, even in patients without HJ disease. Specific lumbar MRI finding correlated with different HJ disease.

从放射学角度看髋关节-脊柱综合征:髋关节疾病与腰椎MRI表现的相关性
背景:髋关节(HJ)疼痛可能由腰椎疾病引起,是一种常见的主诉。目的:探讨各种HJ疾病与HJ疼痛患者腰椎磁共振成像(MRI)表现的患病率及具体相关性。材料和方法:回顾性纳入以HJ疼痛为主诉并同时进行HJ MRI和腰椎MRI检查的患者。根据是否存在HJ病,将患者分为以下两组:非HJ病组;骨关节炎(OA);股髋臼撞击(FAI);坐骨股骨头撞击(IFI);大转子疼痛综合征(GTPS);还有其他疾病。比较了主要腰椎MRI表现的患病率。探讨HJ疾病与腰椎MR主要表现的相关性。结果:共纳入585例患者,其中566例(96.8%)在腰椎MRI上有主要表现。HJ病组多为女性,有较多的椎体滑脱,而非HJ病组有较多的腰痛或腿痛。OA组年龄较大,与腰椎管狭窄(偶然性系数= 0.164)和腰椎滑脱(偶然性系数= 0.095)相关。FAI组较年轻,男性患者较多,且与腰骶过渡椎相关(偶发系数= 0.122)。IFI组年龄较大,女性患者较多,与小关节骨性关节炎相关(偶发系数= 0.168)。GTPS组患者年龄较大,女性患者较多,与脊柱滑脱相关(偶发系数= 0.097)。结论:主要的腰椎MRI表现经常出现在髋关节疼痛患者中,即使在没有HJ疾病的患者中也是如此。特定的腰椎MRI表现与不同的HJ疾病相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta radiologica
Acta radiologica 医学-核医学
CiteScore
2.70
自引率
0.00%
发文量
170
审稿时长
3-8 weeks
期刊介绍: Acta Radiologica publishes articles on all aspects of radiology, from clinical radiology to experimental work. It is known for articles based on experimental work and contrast media research, giving priority to scientific original papers. The distinguished international editorial board also invite review articles, short communications and technical and instrumental notes.
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