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.
