Showing posts with label impingement. Show all posts
Showing posts with label impingement. Show all posts

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

Saturday, September 7, 2019

Femoral head lesion

F 62, left hip pain. Suspected impingement.

There's a subchondral / subcortical bone lesion at the anterior aspect of the left femoral head with cystic and fatty components, possibly also some calcification.
To me it doesn't look like a typical impingement lesion / herniation pit.
More like cystic degeneration of an intraosseous lipoma, or an LSMFT.

She also has chondropathy with subchondral cysts and mild trochanter bursitis (not shown).

What is your impression?


Thanks,

Andrei


P.S.
I wanted to add a comment to my own post but it seems that's not possible.
As far as I can tell, one can only insert images or videos, no way to attach a powerpoint, pdf etc. If that's correct it would in my opinion be a severe limitation.

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