Femoroacetabular Impingement With Systemic Symptoms - Page #3
 

Lab Studies:
CBC, CMP, lipid panel, CK, TSH, ESR, CRP, RF, vitamin D 25-OH, tissue transglutaminase antibody and IgA, all within normal limits. Lyme antibody and ANA negative.

Other Studies:
5/2017: X-ray left femur - read as normal per radiology
6/2017: X-ray lumbar spine - normal lumbar spine; left proximal femoral mass and bilateral femoroacetabular impingement Case Photo #1
8/2017: Bone scan left proximal femur - positive; MRI left femur - 10cm femoral mass
9/2017: Biopsy of left femur - consistent with chronic and acute inflammation and blood
12/2017: X-ray left femur - stable from prior
3/2018: MRI left femur - expanding lesion disrupting cortex Case Photo #2
3/2018: Open biopsy of left femoral mass - consistent with inflammation and blood
4/2018: Curettage of femoral lesion - consistent with Langerhans cell histiocytosis

Consultations:
Orthopedic oncology

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek