4.0 of 71 Ratings
A 16-year-old male athlete presents to your office with left hip pain that worsens when sitting. Physical examination is remarkable for pain with flexion, adduction, and internal rotation of the hip. His radiographs are shown in Figures A and B. When counseling the patient about open treatment of his condition, he should be told that he should be able to return to sports in:
Select Answer to see Preferred Response
A 26-year-old male reports persistent activity-related right hip pain. His radiograph is shown in Figure A. After failing a trial of conservative treatment, he undergoes hip arthroscopy. What findings would you expect to see during this procedure?
Posteriorly oriented acetabulum and anterosuperior labral tearing
Non-hemispherical acetabulum and hypertrophic labrum
Non-spherical femoral head and anterosuperior chondral-labral separation
Tense iliopsoas tendon and anterior labral tearing
Anterosuperior articular cartilage flap of femoral head and hemarthrosis
A 17-year-old hockey goalie presents with longstanding activity-related right hip pain. On physical examination, he has limited hip internal rotation. He also has pain with flexion, adduction, and internal rotation of his hip. Figure A is the AP radiograph of the right hip. This radiographic finding is most suggestive of which of the following?
Acetabular retroversion in cam impingement
Acetabular retroversion in pincer impingement
In the radiographic evaluation of femoroacetabular impingment (FAI), which of the following views is obtained with a standing radiograph and an angle of 65 degrees between the pelvis and the film?
A 23-year-old hockey goalie returns to clinic complaining of continued right groin pain. Hip pain worsens when he assumes a crouched position but he denies any clicking with hip motion. Physical therapy and a previous steroid injection near the iliopsoas bursa have provided no relief. Radiographs and MRI are shown in Figures A-D. Which hip position is most likely to reproduce his pain and what is the best next step in treatment?
Flexion-adduction-internal rotation, periacetabular osteotomy
Flexion-adduction-internal rotation, arthroscopic Iliopsoas tenotomy
Flexion-adduction-internal rotation, femoroacetabular osteoplasty
Flexion-abduction-external rotation, arthroscopic loose body removal and Iliopsoas tenotomy
Flexion-abduction-external rotation, femoroacetabular osteoplasty
Figure 24 shows the radiograph of a 36-year-old volleyball player with right hip pain. What is the cause of the pain?
Developmental dysplasia of the acetabulum
Femoral neck fracture
Femoral acetabular impingement
A patient reports pain in the hip with functional positioning. With the patient supine, pain in which of the following positions would be typical for femoral acetabular impingement?
Hip is internally rotated, passively flexed to 90 degrees, and adducted
Hip is internally rotated, passively flexed to 90 degrees, and abducted
Hip is externally rotated, maximally flexed to 90 degrees, and adducted
Hip is externally rotated, passively flexed to 90 degrees, and abducted
Hip is externally rotated, maximally flexed, and abducted