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Magnetic Resonance Imaging with Gadolinium Arthrography to Assess Acetabular Cartilage DelaminationA Report of Four Cases
Paul E. Beaulé, MD, FRCSC1; Edward Zaragoza, MD1; Nathan Copelan, MD1
1 Departments of Orthopaedics (P.E.B.) and Radiology (E.Z. and N.C.), David Geffen School of Medicine at UCLA, 1245 16th Street, Suite 202, Santa Monica, CA 90404. E-mail address for P.E. Beaulé: pbeaule@laoh.ucla.edu
The Journal of Bone & Joint Surgery.  2004; 86:2294-2298 
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Extract

The outcome of joint-preserving procedures for the treatment of hip osteonecrosis1,2 and acetabular dysplasia3 has been related to the quality of the acetabular cartilage at the time of the operative intervention4-7. An ability to evaluate the condition of the acetabular cartilage prior to surgical intervention could improve the predictability of the results of joint-preserving procedures. To accomplish this goal, some have advocated the use of hip arthroscopy8-10. However, this method relies on visual inspection of the articular surface and probing it to find abnormalities in texture or hidden defects within the midsubstance of the tissue. Less-invasive diagnostic measures, such as magnetic resonance imaging, would be preferable11.
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