Case Challenge

Hip & Thigh

Stephen J Pomeranz

Gain confidence interpreting Hip MRI with practice cases from MRI Online. Quiz yourself using real-world DICOMs & earn CME. Try it free!

Case Review

Musculoskeletal (MSK)

Post-Course Activities

This Power Pack is comprised of 25 unique Hip MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Hip MRI Cases

Case 2 - 63-year-old female presents with severe right hip pain

<div>HISTORY:&#160;This 63-year-old female presents with severe right hip pain and trouble walking. History of three falls last year.PRIMARY FINDING:&#160;Gluteus tendinobursitis.Using the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: Femoroacetabular joint is congruent. No evidence for cam or pincer type femoroacetabular impingement. Low grade chondromalacia of the weightbearing articular surface noted of the acetabular cartilage. The iliofemoral ligament is intact. The ligamentum teres is chronically torn.&#160;Interstitial tendinopathy and tearing of the gluteus medius and minimus tendons at the greater trochanter of the femur with tendinobursitis of the trochanter. Associated capsular stripping at the greater trochanter.&#160;Small hip effusion noted. Chronic superior labral fissuring without full thickness or displaced macrotear of the labrum.&#160;No bony edema or macrofracture. The remainder of the musculature and tendons of the right hip are unremarkable. Limited evaluation of the intrapelvic structures is within normal limits.CONCLUSION:&#160;1. Insertional tendinopathy and interstitial tearing of the gluteus medius and minimus at the greater trochanter of the femur with associated trochanteric tendinobursitis. Mild capsular stripping.&#160;2. Chronically torn ligamentum teres.&#160;3. Partial thickness chronic labral fraying. Low grade weightbearing chondromalacia.</div>

Case

High grade chondromalacia of acetabular cartilage

What is the primary finding in this case?