Saturday, June 21, 2014

Rare case of Femoro-Acetabular Impingement

A 41 year old Hispanic woman was referred to us for evaluation 10 days after an MVA.  She was hit on the driver side  (WHICH THE LEFT IN THE USA) but has developed Right femur pains. Apparently, under the shock to the left, her thigh hit to the RIGHT the structure separating the 2 front passengers. She also complained of Headaches without GI complaints.   her Brain MRI did not reveal a new lesion or a subdural Hematoma.   A plain Xray of the femur to make sure there was no fracture However revealed a surprising read:

" The right femoral head-neck junction appears somewhat flattened with a pistol-grip contour which may predispose the patient to a  cam-type femoroacetabular impingement. "

Given the Medico legal issue involved, a bilateral Hip MRI has been requested and an input from Ortho has been entered.

Question, if the Xray was obtained earlier, could Decadron help, will await Ortho imput, pt has been on NSAID....
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