Hip Pain: When It Just Won't Go Away

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Hip Pain: When It Just Won't Go Away - Page #3

Lab Studies: none Other Studies: Initial imaging: <br>X-ray Pelvis: No evidence of fracture, <br>dislocation or other significant bony abnormality. Positive skeletal maturity <br>X-ray Right Hip: Right acetabular retroversion with possible chronic femoroacetabular impingement <a href="CaseStudyImages/CS1HipPainWhenItJust-31.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br>Follow-up Imaging: <br>MR Arthrogram: 3mm bony divot at the anterior aspect of the femoral head without edema, probably related to old injury. Prominence of sublabral recess of the posterior <br>acetabular labrum, approximately 1.5 cm superior to the transverse acetabular ligament. Mild prominence of the labro-capsular recess at the superior and lateral aspect of the joint <a href="CaseStudyImages/CS2CS1HipPainWhenItJ-31.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <a href="CaseStudyImages/CS3CS2CS1HipPainWhen-31.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> Consultations: The athlete was sent to orthopedic surgeon for discussion of surgical <br>options due to no previous improvement with physical therapy. They recommend a trial of physical therapy for hip and SI joint after intra-articular steroid injection, and surgery only as a last resort. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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