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Skeletal Radiol. 2010 Dec;39(12):1255-8. doi: 10.1007/s00256-010-1026-x. Epub 2010 Sep 4.

Symptomatic hip plica: MR arthrographic and arthroscopic correlation.

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Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, CT 06510, USA.


Two cases of unilateral hip pain are reported in which MR arthrography demonstrated a prominent band medial to the ligamentum teres, running in the AP direction, consistent with a hip plica. Both patients underwent hip arthroscopy with resection of the band. No labral tear or additional intra-articular pathological features was identified in either case. Both patients became asymptomatic following surgery and have remained such. The pathology report demonstrated the specimens to be a synovial band with fibroconnective tissue. This is the first MR arthrographic report of the identification and resection of a symptomatic hip plica. The symptomatic plica may represent an alternative diagnosis for mechanical hip pain.

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