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Q&A with Australian Health Practitioners
Fai and acetabular protrusio - should it be investigated further?
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I'm not sure what to make of my results and my dr doesn't seem to know either. Was wondering if you could tell me if this needs to be investigated further or if it is safe to leave it for now. Pain is mild. ROM is limited. My MRI results as follows: X-ray states: joint space maintained. Generous coverage of femoral head by the lateral acetabulum which may be seen in pincer type femoral acetabula impingement however no degenerative change is identified. Subtle degree of protrusio acetabuli with acetabular fossa extending medially into the ilioschial line. My MRI states: The right hip centre-edge angle is slightly increased measuring 40-42 degrees. This finding does suggest the possibility of acetabula overcoverage of the femoral head. No evidence of labral tear. LABRUM: Appears unremarkable though sensitivity is reduced given the paucity of joint fluid. Evidence of mild change of gluteal tendinopathy on both sides, with subtle right trochanteric bursitis. Thanks for your advice -
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