Presentation
One year of right posterior hip pain as well as right anterior hip/groin pain. Worse with sports.
Patient Data
Coxa profunda bilaterally. Acetebaluar overcoverage of the femoral head on both sides. Narrowing of the right ischiofemoral interval.
Asphericity of the femoral head-neck junction anterosuperiorly with an alpha angle of approximately 70 degrees and a femoral head-neck offset of approximately 6 mm. Anteverted acetabulum. Prominent posterior acetabular wall. Anteverted acetabulum.
Full-thickness anterior labral tear with a 2 mm paralabral cyst anteriorly. Articular cartilage depth appears fissured superiorly with subchondral cyst formation.
There is reduced ischiofemoral space measuring 8 mm with the quadratus femoris space also measuring 7 mm. Quadratus femoris muscle belly demonstrates minimally increased signal.
Hamstring origin tendinosis with an interstitial split tear of the conjoint tendon.
Direct head rectus femoris origin is normal. However, there is asymmetric muscle belly edema peripherally.
Case Discussion
This is a case with imaging features of mixed femoroacetabular impingement morphology and ischiofemoral impingement with an acetabular labral tear and acetabular chondral fissuring. Both femoroacetabular and ischiofemoral impingement seen on imaging can be asymptomatic and careful clinical correlation is required.
Unable to process the form. Check for errors and try again.