Lab Studies:
TSH 4.89, Calcium 8.9, Parathyroid hormone 103 (high), Vitamin D 27, Beta-Crosslaps 512
Other Studies:
Left hip/pelvis X-ray: unremarkable
Case Photo #1 Case Photo #2
Left hip MR Arthrogram: left basocervical femoral neck fatigue stress fracture. The fracture is near-complete in the anterior to posterior dimension but only involves 50% of the femoral shaft in the medial to lateral dimension. Mild left sided congenital hip dysplasia. Tear of the anterior-superior labrum with a small adjacent paralabral cyst.
Case Photo #3 Case Photo #4
Bone Density: within normal limits.
Consultations:
Orthopedic Sports Medicine Surgeon
Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.