Patient History
15-year-old female with anterior and lateral right hip pain and decreased range of motion. No reported injury; patient plays soccer. No history of surgery.
Findings
SKELETAL: No fracture or dislocations. No intramedullary lesions, cortical breakthrough or periosteal reactions.
PELVIS: Normal-appearing right sacroiliac joint, right iliac blade, iliopectineal and ilioischial lines.
JOINTS: Normal femoral head sphericity with normal tapering at the femoral head-neck junction.
No acetabular over or under coverage.
No osteoarthrosis or chondromalacia.
ACETABULUM/LABRUM: Thin and delicate superior to posterosuperior vertical radial labral tear measuring up to 2cm in length with posterosuperior chondrolabral separation. No paralabral cysts.
MUSCLES/TENDONS/LIGAMENTS: Adductor and abductor mechanisms are intact.
The ligamentum teres, ischiofemoral and iliofemoral ligaments are intact.
OTHER/SOFT TISSUE: Mullerian duplication abnormality in keeping with a complete septate uterus. Nongravid.
No adnexal lesions.
Unremarkable neurovascular bundle.
Impressions
1. Thin and delicate, nondisplaced, up to 2cm superior vertical radial labral tear with posterosuperior chondrolabral separation. No paralabral cysts.
2. Mullerian duplication abnormality in keeping with a complete septate uterus.
