Patient History
31-year-old male with right hip, buttock, and leg pain, ongoing for 10 months. No known injury. No history of surgery.
Findings
SKELETAL: No fracture or dislocations.
Loss of the normal right femoral head sphericity with widening of the normal head-neck junction tapering.
Alpha angle of 63 degrees.
No intramedullary lesions. No fracture or dislocations.
PELVIS: Visualized right sacroiliac joint, iliac blade, iliopectineal and ilioischial lines are intact.
JOINTS: No osteoarthrosis or chondromalacia.
ACETABULUM/LABRUM: Chronic chondral carpet-like erosion at the anterosuperior with non displaced vertical radial thin and delicate longitudinal tear extending from superior to anterosuperior (10-12 o’clock positions).
MUSCLES/TENDONS/LIGAMENTS: Ligamentum teres, ischiofemoral and iliofemoral ligaments are intact.
Adductor and abductor compartments are unremarkable.
OTHER/SOFT TISSUE: No bursitis.
Neurovascular bundle without compression. No signs of denervation.
Unremarkable pelvic basin contents.
Impressions
1. Carpet-like chondral erosion at the anterosuperior labrum associated with a nondisplaced vertical radial, thin and delicate longitudinal labral tear from 10-12 o’clock positions. No paralabral cysts.
2. Cam-type deformity of the right hip demonstrated by loss of the normal femoral head sphericity with widening of the normal head-neck junction and an alpha angle of 64.2 degrees. No evidence of active femoroacetabular impingement.
