Wk 4, Case 5 - Review

Patient History: 41-yo male with right hip pain. S/p fall with injury 2 years prior.
Findings
SKELETAL: No acute macrofracture. No infiltrative or destructive bone lesion. No AVN.

PELVIS: No free fluid. No hernia.

JOINTS: Symphysis pubis and SI joint arthrosis.

ACETABULUM/LABRUM: Prominent acetabular spur overhanging the femoral head resulting in acetabular overcoverage of the right femoral head. Anterior and posterior labral tearing. Femoral head-neck junction spurring. Spurring at the fovea capitis. Deep acetabular cup femoral head from labral ossification. No protrusio acetabuli.

MUSCLES/TENDONS/LIGAMENTS: Symmetric musculature. Normal gluteus medius and minimus insertions. Normal right hamstring origin. No ischiofemoral impingement. Normal iliopsoas.

OTHER/SOFT TISSUE: No soft tissue mass. No adenopathy.

Conclusion
1. Mixed cam and pincer-type femoroacetabular impingement.
2. Deep acetabular cup and acetabular overcoverage, with lateral center edge angle increased over 40 degrees, acetabular spurs, labral tears, femoral head-neck junction spurs. Increased alpha angle of 65.3 Degrees.
3. Similar findings on the left, though slightly less severe.