Posterior Thigh Pain In A Skeletally Immature Athlete

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Posterior Thigh Pain In A Skeletally Immature Athlete - Page #3

Lab Studies: X-ray of the Pelvis (AP view, Case Photo #1 Figure 3) with unilateral hip was performed, which showed evidence of displaced cortical avulsion fracture of the right ischium. The left hemipelvis was unremarkable, with intact physes at the ischium and iliac crest/ASIS. Bilateral hips were negative for fracture of the bilateral femur. There was no femoral head, neck, or shaft fracture bilaterally. Due to clinical concern of a complete hamstring avulsion injury, MRI without contrast ( Case Photo #2 Figures 4 and 5 Case Photo #3 ) was performed, which showed complete avulsion of the right hamstring complex with the ischial tuberosity retracted distally from its donor site by about 4.6 cm. There was abundant edema adjacent to the sciatic nerve. There was a multilobulated hematoma just distal to the avulsed bone. Therefore, due to evidence of a complete avulsion of the hamstring complex, the patient was subsequently referred to Orthopedic Surgery for evaluation. Insert Picture 1(figure 3), Picture 2 (figure 4), and Picture 3 (figure 5). Consultations: Orthopedic Surgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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