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<blockquote data-quote="amila_90210" data-source="post: 4089294" data-attributes="member: 111009"><p>When X ray is nondiagnostic </p><p> </p><p>i. But pain persists & then suspected bone/soft </p><p> tissue problem, </p><p><span style="color: Red">MRI is indicated as it is highly </span></p><p><span style="color: Red">sensitive for structures around hip and soft </span></p><p><span style="color: Red">tissue .After reviewing MRI, contrast can be </span></p><p><span style="color: Red">given. .If MRI is not available CT can be </span></p><p><span style="color: Red">done. </span></p><p> <span style="color: Red"></span></p><p><span style="color: Red">ii. But suspected Osteonecrosis (ON) – </span></p><p><span style="color: Red">X ray shows increased joint space; flatten </span></p><p><span style="color: Red">femoral head, fissures and sclerosis. </span></p><p><span style="color: Red"> Grade (X) </span></p><p><span style="color: Red">MRI is the next examination of choice as it </span></p><p><span style="color: Red">has shown a high accuracy. </span></p><p><span style="color: Red"> Grade (Y) </span></p><p> <span style="color: Red"></span></p><p><span style="color: Red">iii. But suspected osteoid osteoma – </span></p><p><span style="color: Red">X ray shows an area of sclerosis </span></p><p><span style="color: Red">CT is indicated because CT helps to identify </span></p><p><span style="color: Red">the nidus in the sclerotic bone</span></p></blockquote><p></p>
[QUOTE="amila_90210, post: 4089294, member: 111009"] When X ray is nondiagnostic i. But pain persists & then suspected bone/soft tissue problem, [COLOR=Red]MRI is indicated as it is highly sensitive for structures around hip and soft tissue .After reviewing MRI, contrast can be given. .If MRI is not available CT can be done. ii. But suspected Osteonecrosis (ON) – X ray shows increased joint space; flatten femoral head, fissures and sclerosis. Grade (X) MRI is the next examination of choice as it has shown a high accuracy. Grade (Y) iii. But suspected osteoid osteoma – X ray shows an area of sclerosis CT is indicated because CT helps to identify the nidus in the sclerotic bone[/COLOR] [/QUOTE]
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