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Normal anatomic variants of the acetabular labrum
Francis Kigozi1, Hale Ersoy, Stephen J Pomeranz
1Regional Diagnostic Radiology, Sartell, Minnesota, and St. Cloud Hospital, St. Cloud, Minnesota.
Magnetic resonance imaging (MRI) can diagnose acetabular labral tears, but normal anatomical variations can lead to false positives. Understanding these variants is crucial for accurate MRI interpretation in musculoskeletal disorders.
Area of Science:
- Orthopedics
- Radiology
- Medical Imaging
Background:
- Magnetic resonance imaging (MRI) is vital for diagnosing musculoskeletal disorders.
- Advancements allow detailed assessment of complex structures like the acetabular labrum.
- Increasing MRI use leads to more frequent labral tear diagnoses.
Purpose of the Study:
- To discuss the spectrum and incidence of normal acetabular labral variants.
- To emphasize MRI features of variant anatomy and labral tears.
- To address challenges in diagnosing labral tears due to anatomical variations.
Main Methods:
- Review of medical literature on acetabular labral variants and tears.
- Analysis of MRI features associated with normal variants.
- Comparison of diagnostic accuracy of MRI and MR arthrography.
Main Results:
- MRI sensitivity and specificity for labral tears are inconsistent.
- Normal anatomical variants can cause false-positive MRI results.
- Lack of consensus exists regarding labral variant definitions and distribution.
Conclusions:
- Accurate MRI interpretation requires understanding acetabular labral variants.
- Further research needed to establish consensus on labral anatomy.
- Distinguishing variants from tears improves diagnostic accuracy.
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