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Wk 7, Case 3, Hip MR - Review

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Report

Patient History

31-year-old male with right hip, buttock, and leg pain, ongoing for 10 months. No known injury. No history of surgery.

Findings

SKELETAL: No fracture or dislocations.

Loss of the normal right femoral head sphericity with widening of the normal head-neck junction tapering.

Alpha angle of 63 degrees.

No intramedullary lesions. No fracture or dislocations.

PELVIS: Visualized right sacroiliac joint, iliac blade, iliopectineal and ilioischial lines are intact.

JOINTS: No osteoarthrosis or chondromalacia.

ACETABULUM/LABRUM: Chronic chondral carpet-like erosion at the anterosuperior with non displaced vertical radial thin and delicate longitudinal tear extending from superior to anterosuperior (10-12 o’clock positions).

MUSCLES/TENDONS/LIGAMENTS: Ligamentum teres, ischiofemoral and iliofemoral ligaments are intact.

Adductor and abductor compartments are unremarkable.

OTHER/SOFT TISSUE: No bursitis.

Neurovascular bundle without compression. No signs of denervation.

Unremarkable pelvic basin contents.

Impressions

1. Carpet-like chondral erosion at the anterosuperior labrum associated with a nondisplaced vertical radial, thin and delicate longitudinal labral tear from 10-12 o’clock positions. No paralabral cysts.

2. Cam-type deformity of the right hip demonstrated by loss of the normal femoral head sphericity with widening of the normal head-neck junction and an alpha angle of 64.2 degrees. No evidence of active femoroacetabular impingement.

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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