FML
Just got my MRA results (MRI with contrast) and they don't look too peachy. I need to find a surgeon in NYC who specializes in this kind of situation, go for a chat, figure out what I need to do + what I can and can't do in terms of exercise. Anyone have any suggestions?
The crazy part is that the groin pain I'd been having since mid-December was mostly gone. I've decreased my mileage a lot but was still getting 3-4 runs in per week at 5-8 miles at a decent clip, and a managed a 14 miler last weekend without any real pain (1 on a scale of 1-10 basically). Thought I was getting better. I only got the MRI to really know what I was dealing with and see if it was indeed a labrum tear, and if so, how bad. Looks like it is a tear, and a fracture, and some other stuff. Lovely.
For those curious:
FINDINGS: There is fusiform cortical thickening along the medial cortex of the femoral
neck, just above the lesser trochanter, in the typical location for hip stress fracture. A
subtle transverse linear focus is present in the cortex at the site, consistent with
cortical stress fracture. There is a small amount of periosteal edema at the site. In
addition, there is a small amount of marrow edema lining the adjacent endosteal cortical
surface, seen on both the T1 and T2-weighted scans. The appearance is thus consistent with
cortical stress fracture. There is no fracture line extending into the marrow cavity of
the bone, however. The remaining included osseous structures demonstrate normal marrow
signal characteristics. There is no avascular necrosis within the femoral head. There is
mild retroversion of the upper acetabulum, predisposing to "pincer -type" femoroacetabular
impingement. There is also a small cam lesion on the superior surface of the subcapital
femur. The bony articular cortices of the hip are smooth. There appears to be slight
thinning and subtle irregularity of articular cartilage in the superior joint space,
especially anteriorly. There appears to be a moderate-sized os acetabula versus prominent
spur embedded within the superior to posterior acetabular labrum. This causes overall
enlargement of this labral segment. Also, there appears to be some subtle tearing of the
anterior acetabular labrum. The corrected right femoral angle of anteversion is 0 degrees.
There is no inflammatory change or fluid in the greater trochanteric bursa. The gluteus
minimus and medius tendons are well attached onto the femoral greater trochanter, without
sign of tendinosis or partial tear. The proximal right hamstring attachment onto the
ischium tuberosity appears normal. The remaining soft tissues surrounding the hip are
unremarkable.
IMPRESSION:
1. Cortical stress fracture along the medial surface of the right femoral neck. There is
no extension of the fracture line into the marrow cavity at this time.
2. Subtle developing chondromalacia in the superior joint space, especially anteriorly.
3. Tear of the anterior labrum. There also appears to be a prominent spur or os acetabula
embedded within the labrum at the junction of its superior and posterior segments.
4. Possible underlying mild "mixed" femoroacetabular impingement.
~~~~~~~~~
Empire Tri Coach
Team Gatorade Endurance
USATF Coach | NYRR Distance Pacer
Dad of twins
Just got my MRA results (MRI with contrast) and they don't look too peachy. I need to find a surgeon in NYC who specializes in this kind of situation, go for a chat, figure out what I need to do + what I can and can't do in terms of exercise. Anyone have any suggestions?
The crazy part is that the groin pain I'd been having since mid-December was mostly gone. I've decreased my mileage a lot but was still getting 3-4 runs in per week at 5-8 miles at a decent clip, and a managed a 14 miler last weekend without any real pain (1 on a scale of 1-10 basically). Thought I was getting better. I only got the MRI to really know what I was dealing with and see if it was indeed a labrum tear, and if so, how bad. Looks like it is a tear, and a fracture, and some other stuff. Lovely.
For those curious:
FINDINGS: There is fusiform cortical thickening along the medial cortex of the femoral
neck, just above the lesser trochanter, in the typical location for hip stress fracture. A
subtle transverse linear focus is present in the cortex at the site, consistent with
cortical stress fracture. There is a small amount of periosteal edema at the site. In
addition, there is a small amount of marrow edema lining the adjacent endosteal cortical
surface, seen on both the T1 and T2-weighted scans. The appearance is thus consistent with
cortical stress fracture. There is no fracture line extending into the marrow cavity of
the bone, however. The remaining included osseous structures demonstrate normal marrow
signal characteristics. There is no avascular necrosis within the femoral head. There is
mild retroversion of the upper acetabulum, predisposing to "pincer -type" femoroacetabular
impingement. There is also a small cam lesion on the superior surface of the subcapital
femur. The bony articular cortices of the hip are smooth. There appears to be slight
thinning and subtle irregularity of articular cartilage in the superior joint space,
especially anteriorly. There appears to be a moderate-sized os acetabula versus prominent
spur embedded within the superior to posterior acetabular labrum. This causes overall
enlargement of this labral segment. Also, there appears to be some subtle tearing of the
anterior acetabular labrum. The corrected right femoral angle of anteversion is 0 degrees.
There is no inflammatory change or fluid in the greater trochanteric bursa. The gluteus
minimus and medius tendons are well attached onto the femoral greater trochanter, without
sign of tendinosis or partial tear. The proximal right hamstring attachment onto the
ischium tuberosity appears normal. The remaining soft tissues surrounding the hip are
unremarkable.
IMPRESSION:
1. Cortical stress fracture along the medial surface of the right femoral neck. There is
no extension of the fracture line into the marrow cavity at this time.
2. Subtle developing chondromalacia in the superior joint space, especially anteriorly.
3. Tear of the anterior labrum. There also appears to be a prominent spur or os acetabula
embedded within the labrum at the junction of its superior and posterior segments.
4. Possible underlying mild "mixed" femoroacetabular impingement.
~~~~~~~~~
Empire Tri Coach
Team Gatorade Endurance
USATF Coach | NYRR Distance Pacer
Dad of twins