Hip Pain: When It Just Won't Go Away - Page #3
 

Lab Studies:
none

Other Studies:
Initial imaging:
X-ray Pelvis: No evidence of fracture,
dislocation or other significant bony abnormality. Positive skeletal maturity
X-ray Right Hip: Right acetabular retroversion with possible chronic femoroacetabular impingement Case Photo #1
Follow-up Imaging:
MR Arthrogram: 3mm bony divot at the anterior aspect of the femoral head without edema, probably related to old injury. Prominence of sublabral recess of the posterior
acetabular labrum, approximately 1.5 cm superior to the transverse acetabular ligament. Mild prominence of the labro-capsular recess at the superior and lateral aspect of the joint Case Photo #2 Case Photo #3

Consultations:
The athlete was sent to orthopedic surgeon for discussion of surgical
options due to no previous improvement with physical therapy. They recommend a trial of physical therapy for hip and SI joint after intra-articular steroid injection, and surgery only as a last resort.

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.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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