Adolescent Cross Country Athlete With Hip Pain - Page #3

Lab Studies:
CBC, BMP, LFTs, intact PTH, and TSH were normal
Vitamin D 25-OH level = 13 below normal

Other Studies:
X-Rays: Initial hip and lumbar spine series were unremarkable and repeat hip x-rays were negative
MRI arthrogram of right hip: showed right sacral ala stress fracture Case Photo #1, Case Photo #2
X-ray bone length orthorentogram: showed right leg = 85.5cm and left leg = 84.5cm; 1cm left short leg length discrepancy

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.

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