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Wk 1, Case 1 - Review

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Report

Patient History
15-year-old male with left hip pain

Findings
SKELETAL: Defect in the lateral left femoral head is consistent with femoroplasty for impingement syndrome. Immediately anterior to the lesser tuberosity in the trochanteric/low neck region is a laminar horizontal area of sclerosis consistent with fatigue fracture surrounded by osteoedema. Periosteal swelling, elevation, and adjacent soft tissue edema medial to it.

PELVIS: Normal.

JOINTS: Trace to 1+ effusion.

ACETABULUM/LABRUM: Normal.

MUSCLES/TENDONS/LIGAMENTS: Normal.

OTHER/SOFT TISSUE: Soft tissue swelling and periosteal swelling.

Conclusion
Medial hip fatigue partial-depth fracture.

Case Discussion

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Jenny T Bencardino, MD

Vice-Chair, Academic Affairs Department of Radiology

Montefiore Radiology

Edward Smitaman, MD

Clinical Associate Professor

University of California San Diego

Tags

Musculoskeletal (MSK)

MRI

Hip & Thigh

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