MRI Scan Guide

Hip MRI: What It Shows, How It Works, and What to Expect

Overview

What is a hip MRI?

A hip MRI produces detailed images of the hip joint, including the femoral head, acetabulum, labrum, cartilage, tendons, muscles, and surrounding soft tissues. It is the most comprehensive imaging method for evaluating hip pathology.

Hip MRI is used to diagnose labral tears, arthritis, avascular necrosis, stress fractures, tendon injuries, and femoroacetabular impingement (FAI). It is also used in pre-surgical planning and post-operative assessment.

The scan is non-invasive, uses no radiation, and patients can return to normal activity immediately afterward.

The procedure

How a hip MRI works

You lie on your back on the scanner table with your hips positioned in the center of the scanner. A body coil or dedicated hip coil is placed over the pelvis. The table moves into the scanner, and images are acquired over approximately 30 to 45 minutes using multiple sequences that highlight bone, cartilage, and soft tissue structures.

Diagnostic value

What a hip MRI detects

Labral tears
Femoroacetabular impingement (FAI)
Avascular necrosis of the femoral head
Hip arthritis and cartilage loss
Stress fractures and bone marrow edema
Tendon injuries (gluteal, iliopsoas)
Bursitis and soft tissue inflammation
Synovitis and joint effusion

Preparation

How to prepare for a hip MRI

Hip MRI vs hip X-ray

Hip X-rays are useful for evaluating bone alignment, fractures, and advanced arthritis. However, X-rays cannot show soft tissue structures like the labrum, cartilage, or tendons. MRI provides a complete picture of both bone and soft tissue, making it essential when X-rays are normal but symptoms persist.

Hip MRI for young athletes

Hip MRI is increasingly used in younger patients and athletes experiencing groin or hip pain. Common findings include labral tears, stress fractures, and femoroacetabular impingement. Early diagnosis with MRI can guide treatment and prevent progression to more serious conditions like hip arthritis.

Understanding your results

Your scan results, in plain English.

Every Mira scan comes with two reports. A medical report from a radiologist for your doctor, and a miraclarity report for you. The miraclarity report explains your hip MRI findings in straightforward language with visual guides, severity indicators, and recommended next steps.

No jargon. No waiting for another appointment just to understand what your scan found. miraclarity is included free with every scan.

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Where to get a hip MRI

Frequently asked questions

Can MRI detect a hip labral tear?

Yes. MRI is excellent at detecting labral tears, especially when performed with an arthrogram (contrast injected into the joint).

How long does a hip MRI take?

A typical hip MRI takes 30 to 45 minutes.

Can I have a hip MRI with a hip replacement?

Most modern hip replacements are MRI-compatible. However, you must inform the clinic about your implant so compatibility can be confirmed before scanning.

What is avascular necrosis and can MRI detect it?

Avascular necrosis (AVN) is a condition where bone tissue dies due to interrupted blood supply. MRI is the most sensitive imaging method for detecting AVN, often identifying it before it appears on X-ray.

Other MRI scans

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