Case Notes
History
Hip pain.Exam
Prior Study
Dicom
Findings
| IMAGE QUALITY | Correct Answer | Your Answer |
|---|---|---|
|
Portions of the patient’s anatomy are excluded from the field of view. |
No | NA |
|
There are external structures overlying the patient’s pelvis, such as a backboard. |
No | NA |
|
The image is rotated. |
No | NA |
| VISUALIZED LUMBAR SPINE | Correct Answer | Your Answer |
|---|---|---|
|
There are compression fractures. |
No | NA |
|
There are transverse process fractures. |
No | NA |
|
There is lumbar spine degeneration. |
No | NA |
| SACRUM and SACROILIAC JOINTS | Correct Answer | Your Answer |
|---|---|---|
|
There are displaced fractures or disrupted/asymmetric foraminal arcs. |
No | NA |
|
|
No | NA |
|
There is malalignment at the inferior margin of the sacroiliac joints. |
No | NA |
|
There are radiographic findings of sacroiliac inflammation or degeneration. |
No | NA |
| PUBIC SYMPHYSIS and RAMI | Correct Answer | Your Answer |
|---|---|---|
|
The pubic symphysis is widened or vertically incongruent. |
No | NA |
|
There are radiographic findings of pubic symphysis inflammation or degeneration. |
No | NA |
|
There is a pubic ramus fracture. |
No | NA |
|
|
No | NA |
| ILIAC BONES | Correct Answer | Your Answer |
|---|---|---|
|
|
No | NA |
|
|
No | NA |
|
Iliac crest avulsion fractures are present. |
No | NA |
|
Anterior superior iliac spine avulsion fractures are present. |
No | NA |
|
Anterior inferior iliac spine avulsion fractures are present. |
No | NA |
|
Ischial spine avulsion fractures are present. |
No | NA |
| HIPS/PROXIMAL FEMURS | Correct Answer | Your Answer |
|---|---|---|
|
Triradiate cartilages (if open) are asymmetric or disrupted. |
No | NA |
|
Ilioischial lines are disrupted. |
No | NA |
|
Iliopubic (iliopectineal) lines are disrupted. |
No | NA |
|
Anterior walls of the acetabula (if ossified) are disrupted. |
No | NA |
|
Posterior walls of the acetabula (if ossified) are disrupted. |
No | NA |
|
Anterior walls of the acetabula (if ossified) are lateral to the posterior walls (“crossover sign”). |
No | NA |
|
Acetabular roofs are discontinuous. |
No | NA |
|
|
No | NA |
|
There is hip dislocation or subluxation. |
No | NA |
|
|
No | NA |
|
|
No | NA |
|
There are radiographic findings of hip osteoarthritis or inflammation. |
No | NA |
|
The cortices of the femoral heads are irregular or indistinct. |
No | NA |
|
There is abnormal osseous density of the femoral epiphyseal ossification centers. |
No | NA |
|
Femoral epiphyseal ossification centers are asymmetric in size. |
No | NA |
|
The proximal femoral physes are widened or abnormally smooth or irregular in contour. |
Yes | NA |
|
Klein lines asymmetrically cross the femoral epiphyses or there is displacement of the femoral epiphyses with respect to the femoral necks. |
Yes | NA |
|
|
No | NA |
|
There is osseous prominence at the lateral femoral head/neck junctions. |
No | NA |
|
There are fractures of the femoral neck, intertrochanteric region, or subtrochanteric region. |
No | NA |
|
The trabecular pattern of the proximal femurs is abnormal. |
No | NA |
|
There are avulsion fractures of the greater or lesser trochanters. |
No | NA |
| MISCELLANEOUS | Correct Answer | Your Answer |
|---|---|---|
|
The osseous mineralization is diffusely abnormal. |
No | NA |
|
|
No | NA |
| SOFT TISSUES | Correct Answer | Your Answer |
|---|---|---|
|
There are radio-opaque foreign bodies, lacerations, or soft tissue swelling. |
No | NA |
|
There are other incidental soft tissue abnormalities. |
No | NA |
Impression
Expert Answer
Left slipped capital femoral epiphysis. No radiographic evidence for slipped capital femoral epiphysis on the right.
Your Answer
Recommendations & Acuity
Recommendations
Expert Answer
Orthopedic consultation.
Your Answer
Acuity
Expert Answer
Urgent: non-routine communication within 4 hours