When Hiking Becomes A Pain In The Butt

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When Hiking Becomes A Pain In The Butt - Page #3

Lab Studies: No laboratory studies were obtained. Other Studies: Plain radiographs of the left hip demonstrated mild degenerative joint space narrowing. Diagnostic musculoskeletal ultrasound demonstrated dynamic narrowing of the ischiofemoral space during external rotation of the hip. Sonopalpation of the quadratus femoris interval reproduced the patient's typical pain. Magnetic resonance imaging of the pelvis demonstrated edema within the quadratus femoris muscle and narrowing of the left ischiofemoral interval to 11 mm, compared with 17 mm on the contralateral side. Additional findings included left gluteal tendinosis with trochanteric bursitis and moderate hip osteoarthritis. Case Photo #2 Consultations: No additional consultations were obtained. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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