Lab Studies:
None
Other Studies:
An anteroposterior/lateral x-ray of the right hip demonstrated a right posterior hip dislocation with the femoral head located superior and posterior to the acetabulum <a href="CaseStudyImages/CS1YouthAthlete039sH-733.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> . No fracture was appreciated on x-ray.
<br>
<br>An X-ray and CT of the right hip immediately post-reduction, confirmed successful reduction of the dislocation. There was no fracture appreciated, and no evidence of hip dysplasia.
<br>
<br>Four weeks after his injury, he underwent an MRI of his right hip <a href="CaseStudyImages/CS2CS1YouthAthlete03-733.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> , which demonstrated a ligamentum teres tear, femoral head chondral injury, subtle posterior acetabular fracture, and associated labral tear. There were no signs of avascular necrosis appreciated at a month after the injury.
Consultations:
The emergency department staff consulted orthopedics at the time of injury.
Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.