76.

Manual of Rheumatology and Outpatient Orthopedic Disorders

FIG. 3-1. Septic arthritis of the hip. A: Anteroposterior radiograph of the right hip shows marked narrowing of the joint space, indicating destruction of the articular cartilage. B: Dynamic flow scan shows increased vascularity in the right hip. C: Blood-pool scan shows increasing vascularity in the right hip. D: Delayed static image shows increased uptake in the right hip. E: Coronal T ₁ -weighted (TR/TE MSC 500/12) image shows a decreased signal in the right femoral head and neck and acetabulum. F: Coronal T ₂ -weighted (TR/TE MSCE 2000/80) image with fat suppression by chemical shift technique shows increased signal in the femoral head and neck and acetabulum caused by bone marrow edema, in the joint capsule caused by synovial effusion, and in the soft tissues caused by inflammation and edema. G: Hip arthrogram shows contrast material in the joint with irregularity of the joint capsule, indicating synovitis.

Books@Ovid
Copyright 2000 by Lippincott Williams & Wilkins
Stephen A. Paget, M.D., Allan Gibofsky, M.D., J.D. and John F. Beary, III, M.D.
Manual of Rheumatology and Outpatient Orthopedic Disorders

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