Friday, November 8, 2019

Distal Cam lesion in 46F with hip pain

The Cam lesion is distal (white arrow), not where we expect a Cam related to FAI.  This has been reported to correlate with symptoms of Subspine Impingement (SSI) even when the AIIS is not elongated (which it is not in this case).  There is anterosuperior labral tear (yellow arrows)...which begs the question what has caused it in this case (and the majority of cases like this in the reference). If there's symptomatic impingement of any type (and a pulse and active insurance) I suppose this Cam bump will be excised.  What are your thoughts about this?  Do you buy it????/

https://pubs.rsna.org/doi/10.1148/radiol.2019190581
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