Presentation
Hip pain, worse on deep hip flexion.
Patient Data
MRI hip arthrogram and image guided injection. Evidence of a fluid cleft at the anterosuperior chondrolabral junction which extends across its entire thickness in keeping with tear/ focal detachment.
The arrow points to the fluid cleft at the anterosuperior chondrolabral junction and extends across its entire thickness in keeping with a tear.
Case Discussion
MRI arthrograms can assess the hip joint include articular cartilage and labrum, and surrounding periarticular tendons and musculature.
The arthrogram injectate should contain a longer acting local anesthetic and the patient advised to keep a pain diary. Labral tears are common even in asymptomatic individuals, so combing the outcome of the injection and MRI will help clarify certain findings.