Report
Patient History: 50-year-old male with anterolateral hip pain.
Findings
SKELETAL: Short femoral neck with asphericity is associated with an alpha angle of 62.89 degrees. A small superolateral acetabular ossicle is present along the lateral most acetabular rim.
PELVIS: Noncontributory.
JOINTS: Trace to 1+ effusion. Subtle laminar area of hypointensity in the superior lateral acetabular rim cartilage, best seen on series 201, image 9, is consistent with early acetabular abrasion. Small intraarticular foveal rim spurs.
ACETABULUM/LABRUM: Anterosuperior short-segment labral tear adjacent to acetabular abrasion subtly seen as discontinuity in the coronal projection but better seen in the sagittal projection. Small acetabular rim ossicle as described above.
MUSCLES/TENDONS/LIGAMENTS: Ligamentum teres insertion swollen. Transverse ligament normal. Iliofemoral ligament normal. Abductors, adductors, flexors and extensors normal. No muscular atrophy.
OTHER/SOFT TISSUE: Noncontributory.
Conclusion
Cam impingement with acetabular impingement and small labral tear.
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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