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Review Question - QID 6004

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QID 6004 (Type "6004" in App Search)
Figure 24 shows the radiograph of a 36-year-old volleyball player with right hip pain. What is the cause of the pain?
  • A

Osteonecrosis

0%

3/1054

Rheumatoid arthritis

1%

6/1054

Developmental dysplasia of the acetabulum

3%

27/1054

Femoral neck fracture

1%

6/1054

Femoral acetabular impingement

95%

1003/1054

  • A

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Femoral acetabular impingement usually presents in active young adults with the slow onset of groin pain that often starts after a minor trauma. Physical examination reveals limitation of motion with a positive impingement test which consists of forceful internal rotation with flexion and adduction. Femoral acetabular impingement is a mechanism for the development of early osteoarthritis in nondysplastic hips. Surgical debridement of the impinging, nonspherical portion of the femoral head restores offset and improves the clearance of the head, thus preventing abutment of the neck against the acetabular rim. The patient has no evidence of osteonecrosis, developmental dysplasia of the hip, rheumatoid arthritis, or femoral neck fracture.

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