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Wk 6, Case 3, Hip MR - Review

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Report

Patient History

15-year-old female with anterior and lateral right hip pain and decreased range of motion. No reported injury; patient plays soccer. No history of surgery.

Findings

SKELETAL: No fracture or dislocations. No intramedullary lesions, cortical breakthrough or periosteal reactions.

PELVIS: Normal-appearing right sacroiliac joint, right iliac blade, iliopectineal and ilioischial lines.

JOINTS: Normal femoral head sphericity with normal tapering at the femoral head-neck junction.

No acetabular over or under coverage.

No osteoarthrosis or chondromalacia.

ACETABULUM/LABRUM: Thin and delicate superior to posterosuperior vertical radial labral tear measuring up to 2cm in length with posterosuperior chondrolabral separation. No paralabral cysts.

MUSCLES/TENDONS/LIGAMENTS: Adductor and abductor mechanisms are intact.

The ligamentum teres, ischiofemoral and iliofemoral ligaments are intact.

OTHER/SOFT TISSUE: Mullerian duplication abnormality in keeping with a complete septate uterus. Nongravid.

No adnexal lesions.

Unremarkable neurovascular bundle.

Impressions

1. Thin and delicate, nondisplaced, up to 2cm superior vertical radial labral tear with posterosuperior chondrolabral separation. No paralabral cysts.

2. Mullerian duplication abnormality in keeping with a complete septate uterus.

Case Discussion

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Gitanjali Bajaj, MD

Assistant Professor

University of Arkansas for Medical Sciences

Edward Smitaman, MD

Clinical Associate Professor

University of California San Diego

Brian Y. Chan, MD

Assistant Professor of Musculoskeletal Radiology

University of Utah

Tags

Musculoskeletal (MSK)

MRI

Hip & Thigh

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