Hip Pain In A College Runner - Page #3
 

Lab Studies:
Initial Radiograph Case Photo #2

Other Studies:
The original x-ray was reported to the patient as negative 6 weeks ago at the orthopedics office (a copy of the images nor the report were available for review). A new x-ray obtained upon presentation to our office revealed sclerosis in the inferior femoral neck concerning for a stress injury/fracture Case Photo #2 . There was also an incidental finding of acetabular retroversion predisposing to FAI syndrome.

An MRI was then obtained which showed an incomplete compression sided stress fracture (~33%) of the medial femoral neck with surrounding edema.

Please see attached photos Axial Case Photo #1 , Case Photo #5 , Case Photo #6 and Coronal Case Photo #4

Consultations:
Referred to Orthopedic Surgery.

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, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (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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