HIP PAIN

Dear OCADs,

This 34Y old female, Presented with pain in left hip fornearly two years.

MRI – Osteochondral defect in acetabular roof withsurrounding marrow oedema which enhances with Gadolinium. A small hypointensityarea on all pulse sequences is identified postero-superior to former.

Can this be a displaced dense bone fragment ?

Is this enhancement is too much for a OD ?

Can this “dense bone fragment” originate from same lesion ?
Value your expert opinion.

Thanks in advance.
Sanjeewa

 

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