Imaging Findings of herniation pit of the femoral neck.docVIP

 PAGE \* MERGEFORMAT 4 Imaging Findings of herniation pit of the femoral neck [Keywords:] the performance of the femoral neck herniation pit of the image Femoral neck herniation pit of the femoral head I was misdiagnosed as aseptic necrosis, the authors collected 18 cases of femoral neck herniation pit of the cases reported below, focusing on its imaging and pathological basis. 1 Materials and methods We collected our department from January 2001 -2007 in January, 18 cases of femoral neck herniation pit of the cases, a total of 20 femoral neck herniation pit, of which 12 males and 6 females; age of 26 to 70 years; 16 cases due to hip pain and suspected aseptic femoral head necrosis, 1 case was reviewed after trauma, 1 case of plain film stumbled. the application of this group is manufactured by Siemens SOMATOM ARSTAR whole body spiral CT scanners and the Siemens MAGNETON VIVA OPEN0 .. 2T MRI machine. routine CT scan and SE, TIW and T2W axial and coronal scans, slice thickness is 6mm, the interval is 0.6mm, the hip all the patients had anteroposterior X-ray film. 2 Results 18 patients with unilateral lesions in 16 cases, bilateral lesions in 2 cases, a total of 20 lesions, each lesion were located in the anterior neck 1 / 4 parts, shape was round, oval or lobulated, X-ray film and CT showed a low-density chip translucent shadow of its density, the boundary clear, hardened ring diameter of 3 ~ 16mm, MRI scans all showed the same signal, SE sequence shows low signal TIW, T2W showed high signal surrounding the low signal ring. All patients were scanned after 6 months to 3 years of clinical follow-up observation, found that no progress in symptoms, lesion size and shape of the signal had no change. 3 Discussion Hip femoral neck herniation pit of the anterior capsule due to the impact of the mechanical and wear and tear on the femoral neck before the 1 / 4 produced a reaction zone, which consists of bone collagen, new cartilage and reactive ne