Persistent Hamstring Pain In A Prepubescent Female - Page #3
 

Lab Studies:
Lab results were normal, which included:
CBC, TSH, Vitamin D, PTH, calcium.

Other Studies:
Radiological imaging was ordered, as the nature of pain was unclear due to a benign exam.

Right Hip X-ray: On the frontal view, the cortical margin of the inferior pubic ramus appears heterogenous and fragmented when compared to contralateral side. Case Photo #1

MRI of Right Hip: There is abnormal high signal associated with the right and left ischial tuberosity. This is more prominent on the right. This is thought to be related to a stress fracture. The surrounding musculature is intact. All other major structures normal. Case Photo #2, Case Photo #3

Consultations:
Aside from the previous consults prior to being seen, only physical therapy was ordered.

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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