3.5 of 31 Ratings
Figure A is the radiograph of an otherwise healthy 33-year-old female soccer player with a history of hip dysplasia. She reports 6 weeks of left groin pain that has not improved with physical therapy. She endorses snapping and clicking in the left hip with certain movements. On exam, she has pain if the hip is brought from a flexed, externally rotated and abducted position to a position of extension, internal rotation, and adduction. An intraarticular steroid injection temporarily improved her symptoms. What is the most likely diagnosis?
Femoral neck stress fracture
Avascular necrosis of the femoral head
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A 28-year-old woman who is an avid runner reports pain about the left hip with activities. Nonsurgical management has failed to provide relief. An MRI arthrogram is shown in Figure 47. What is the most likely diagnosis?
Loose chondral fragment