Postoperative Evaluation Of The

Initial radiographs should assess for overall anatomic alignment, bony contours, and mineralization with comparison to preoperative studies. Postoperative changes involving arthroscopic osteochondroplasty, open resection osteoplasty, or acetabular realignment should assess for any residual FAI. Plain films may detect postoperative myositis ossificans, which can be a rare postoperative complication. However, when clinically indicated, symptomatic postoperative evaluation primarily involves analysis of the labrum searching for recurrent labral tears or detachments (Fig. 21). Although no published data exists, evaluation of the postoperative labrum can be difficult. It is essential that the interpreting physician is familiar with the original surgical technique to properly diagnosis recurrent problems. Intrasubstance suture or granulation tissue may mimic tear, much like postoperative MR appearance of meniscal repair. In our experience, if bioabsorbable suture anchors are used they are rarely seen postoperatively. Postoperative scarring or fibrosis can occur and symptomatic labral adhesions have been seen (Fig. 22). Anecdotally, pre- and postoperative synovitis may be occult with MR arthrography, and there may be a role for intravenous contrast in this scenario to better assess for synovitis. It is not uncommon to see enlargement of the iliofemoral ligament/anterior

Fig. 21. Division 1 college running back with two prior labral debridement surgeries with persistent pain. Axial T2 fat-saturated image showed attenuated anterosuperior labrum (white arrowhead ), which on close scrutiny was detached from the acetabular rim (white arrow) causing entrapment that was confirmed arthroscopically.

Fig. 21. Division 1 college running back with two prior labral debridement surgeries with persistent pain. Axial T2 fat-saturated image showed attenuated anterosuperior labrum (white arrowhead ), which on close scrutiny was detached from the acetabular rim (white arrow) causing entrapment that was confirmed arthroscopically.

Fig. 22. Oblique axial T2 MR arthrogram image demonstrating surgically proven postoperative labral adhesions (black arrow) between the anterior capsule and capsular side of the anterior labrum. (From Armfield DR. Clinical evaluation of the hip: radiologic evaluation. Oper Tech Orthop 2005;15(3):182-90, with permission.)

capsule after surgery when suture plication or thermal capsulorrhaphy has been performed.

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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