Report
Patient History
24-year-old male with lateral hip pain and no known injury.
Findings
SKELETAL: Extensive osteoedema throughout the femoral head is confluent and extends along the lateral aspect of the femoral neck, supratrochanteric region, and to a lesser extent the trochanteric region. Growth plates are closed. No fatigue, stress, or insufficiency fracture.
PELVIS: The remainder of the pelvis is uninvolved. Normal red marrow hyperplasia for age.
JOINTS: Trace to 1+ joint effusion. No intra-articular synovitis.
ACETABULUM/LABRUM: Diminutive anterosuperior labrum seen only sagittally is a thin horizontal microtear and not likely related to the femoral head osteoedema.
MUSCLES/TENDONS/LIGAMENTS: Normal.
OTHER/SOFT TISSUE: Normal.
Conclusions
Diffuse osteoedema of the femoral head with trace hip effusion consistent with transient osteoporosis of the hip despite a slightly atypical demographic. Diminutive anterosuperior labrum.
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
Matthew Chanin, MD
Radiologist
ProScan
Edward Smitaman, MD
Clinical Associate Professor
University of California San Diego
Todd D. Greenberg, MD
Radiologist
ProScan
Tags
Musculoskeletal (MSK)
MRI
Hip & Thigh
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