0:00

So in summary, uh, the way that I like to look at these is

0:04

to try to divide them into these functional groups.

0:08

Usually in your younger patients, the problems tend

0:11

to be more anterior, whereas the more posterior uh, tendon,

0:16

you tend to see pathology more in the older, uh, age group.

0:21

So again, you might wanna spend a little bit more time on

0:24

those posterior structures in your older, uh, patients.

0:30

Remember to use a dedicated protocol for your athletes

0:35

to get good imaging to the pubic synthesis.

0:38

You want to look carefully

0:40

through the anterior hip when somebody is sent for trauma,

0:43

because they're often referred as rule out

0:45

or called fracture when it's actually a tendon pathology.

0:50

The analogy of the rotator cuff

0:53

for the abductor tendons

0:55

to look at the IT band for any thickening.

0:59

Same issues of calcific, tendonitis, bursitis,

1:03

tendinopathy, and tear.

1:06

We may see tears in the hamstring that don't retract,

1:10

and the internal, the external rotators have very deep

1:15

and non-specific symptoms.

1:17

The main thing you want to do is to look for impingement.

1:20

Thank you very much.

Summary: MR of the Pelvis Tendons

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0:00

So in summary, uh, the way that I like to look at these is

0:04

to try to divide them into these functional groups.

0:08

Usually in your younger patients, the problems tend

0:11

to be more anterior, whereas the more posterior uh, tendon,

0:16

you tend to see pathology more in the older, uh, age group.

0:21

So again, you might wanna spend a little bit more time on

0:24

those posterior structures in your older, uh, patients.

0:30

Remember to use a dedicated protocol for your athletes

0:35

to get good imaging to the pubic synthesis.

0:38

You want to look carefully

0:40

through the anterior hip when somebody is sent for trauma,

0:43

because they're often referred as rule out

0:45

or called fracture when it's actually a tendon pathology.

0:50

The analogy of the rotator cuff

0:53

for the abductor tendons

0:55

to look at the IT band for any thickening.

0:59

Same issues of calcific, tendonitis, bursitis,

1:03

tendinopathy, and tear.

1:06

We may see tears in the hamstring that don't retract,

1:10

and the internal, the external rotators have very deep

1:15

and non-specific symptoms.

1:17

The main thing you want to do is to look for impingement.

1:20

Thank you very much.

Report

Faculty

Donald Resnick, MD

Professor Emeritus, Department of Radiology

University of California, San Diego

Edward Smitaman, MD

Clinical Associate Professor

University of California San Diego

Mini N. Pathria, MD, FRCP(C)

Division Chief, Musculoskeletal Imaging

University of California San Diego

Lesson

Sacroiliac Joints

Lesson

Soft Tissues of the Pelvis

Lesson

Hip: Case Review Part 1

Lesson

Osteonecrosis, Transient Osteopenia, and Subchondral Insufficiency Fractures

Lesson

Femoroacetabular Impingement (FAI) and the Acetabular Labrum

Lesson

Hip: Case Review Part 2

Summary: MR of the Pelvis Tendons