Hip Pain In A Weightlifter

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Hip Pain In A Weightlifter - Page #3

Lab Studies: CBC and CMP: no abnormalities Vitamin D 25 Hydroxy: 36.7 ng/mL (normal range 30-100 ng/mL) TSH: 1.42 (normal range 0.40-4.00) Testosterone: 486 ng/dL (normal range 200-800 ng/dL) PTH 47 pg/mL (normal range 12-88 pg/mL) Other Studies: Bilateral Hip X-rays: no evidence of fracture, possible mild bilateral CAM deformities DEXA: within normal range for age MRI hips: STIR Coronal extensive bone marrow edema pattern within the right femoral neck and moderate bone marrow edema pattern within the left femoral neck. Compatible with stress fractures. T2 Coronal Small Field of View Small field-of view-imaging of the right hip demonstrate a tear of the anterior superior labrum. No full thickness chondral defect is identified over the femoral head or dome. There is no bulky synovitis. The iliofemoral ligament and ligamentum teres are preserved. Consultations: Bone endocrinology evaluation Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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