Hip Pain In A Teenage Motocross Rider

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Hip Pain In A Teenage Motocross Rider - Page #3

Other Studies: XR Pelvis with Lateral Hip, Right: concerning for avascular necrosis of the right femoral head. Cortical irregularity and lucency in the right femoral head epiphysis. Femoral head flattening along the lateral aspect. <a href="CaseStudyImages/CS1HipPaininaTeenage-800.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <a href="CaseStudyImages/CS2CS1HipPaininaTeen-800.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <br>MRI (no IV contrast) Right Hip: ununited and minimally displaced longitudinal fracture of the posterior superior acetabular wall. Osteochondral defects involving the posterior superior aspect of the femoral head and acetabulum. Intra-articular osteochondral bodies with changes of synovitis. Early changes of osteoarthritis. <a href="CaseStudyImages/CS3CS2CS1HipPaininaT-800.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <a href="CaseStudyImages/CS4CS3CS2CS1HipPaini-800.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> <a href="CaseStudyImages/CS5CS4CS3CS2CS1HipPa-800.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> <br>XR Pelvis AP (one month after above two images): progression of subchondral sclerosis and cystic change of femoral head; osteophyte formation along the lateral aspect of right femoral head; femoral acetabular joint space narrowing. <a href="CaseStudyImages/CS6CS5CS4CS3CS2CS1Hi-800.jpg" title="Case Photo #6" data-lity><b>Case Photo #6</b></a> Consultations: Pediatric Orthopedic Surgery: MRI ordered during this visit. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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