Delayed Diagnosis Of Hip Pathology In Young Athlete

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Delayed Diagnosis Of Hip Pathology In Young Athlete - Page #3

Lab Studies: Erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), complete blood count (CBC), and comprehensive metabolic panel (CMP) were unremarkable. HLA-B27 antigen positive Other Studies: X-ray of hip, pelvis, and lumbar spine: Showed extensive bony edema in right sacrum and right ilium. <a href="CaseStudyImages/CS1DelayedDiagnosiso-1177.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br>MRI: Bilateral sacroiliitis. Right side appeared more quiescent with sclerotic changes, while the left side appear more active with reactive marrow change. <a href="CaseStudyImages/CS2CS1DelayedDiagnos-1177.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <a href="CaseStudyImages/CS3CS2CS1DelayedDiag-1177.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <br> <br>Of note, there was unilateral right sided sacroiliitis on MRI from 1 year prior at outside facility where labral pathology was identified prior to arthroscopy. Consultations:* Rheumatology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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