Monday, November 18, 2019

31M 6 months right hip and groin pain...what do you think?

There is a large CAM lesion with deep chondral fissuring at the anterosuperior chondrolabral junction and tearing of the anterosuperior labrum.
My question is about the secondary cleft at the pubic symphysis, incompletely imaged at the medial margin of the FOV. Is there are reason to recommend pelvis MRI with pubalgia protocol, or do we have enough information to report partial tearing along the origin of the right sided adductor longus?




1 comment:

  1. I believe in the secondary cleft and think you have enough to call it. Moreover, it looks like from your ax FS T2s that you have enough coverage to see the rectus insertion bilaterally and all of the aponeurosis/midline pubic plate as well as the symphysis. I would call the right-sided partial adductor tear and if the rest looks okay then not recommend anything. Since the angles are not standard for a pubalgia protocol, if there is any blurry brightness near the midline pubic plate or the rest of the structures then it would be reasonable to recommend a dedicated study for more detailed and precise assessment. --Kirk Davis

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