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1378884 tn?1315509445

Hip labrum Injury

One year ago I fell at work on some ice. Fell on cox sic and r hip area. It felt like someone had driven a knife into my hip. On the injury report I reported hip and low back pain. An Xray was done and then a MRI on my lumbar sacrum area. Slight disk buldge and no impingement on nerves, some early signs of arthritis. I was still complaining  about hip pain but no one listened until a month ago. My symptoms were and still are: Pain in my right foot when I sit a certain way walk a certain way,  sit on toilet a certain way, sleep on my right side, back/stomach a  certain way.

OK now for the hip: Dull pain along with sharp pain depending on how I move. Pain in inner groin/hip area. Hip occasionally locks up on me when I stand up from a sitting position.

I just finally recieved the results from the MRI with Contrast a  year after the initial injury. I was also diagnosed two years ago with Hashimotos and I do have issues with arthritis although still trying to get a handle on it as I speak. Here is the report:

Indication: R hip pain, question labral tear.

Findings: There is some degenerative osteoarthritis of R hip with some small marginal osteophytes. There is also  chondromalacia predominantly along posterior and superior aspect of the femoral head with irregularity of the articular cartilage. No intra-articular loose bodies are identified, allowing for some intra-articular air which was apparently administered at the time of injection.

Continued...
2 Responses
700223 tn?1318169294
MEDICAL PROFESSIONAL
Sounds like you had pre-existing degenerative joint disease and the fall aggravated it.  It is not unusual to see pain free joints with early DJD become symptomatic after trauma aggravates the problem.  
1378884 tn?1315509445

There is slight greying of the anterior-poaterior labrum which is felt to be on degenerative basis, without evidence for a frank labral tear. Surrounding muscles and tendons appear normal.

Impression: R hip pain is felt predominantly due to some degenerative osteoarthritis as outlined above with small marginal osteophytes and chrondromalacia.

There is some subtle degenerative fraying of the anterior-superior labrum without evidence for a frank labral tear.

Here is my question, What does this all mean?  Did I have an injury caused by the fall or is it just that the fall  exacerbated the osteo they think was there first. I did not have any pain in hip before the fall. I think the osteo said hey there is an injury to jump on, lets do it :-) What do you all think?
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