Report
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.
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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