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Review Question - QID 6166

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QID 6166 (Type "6166" in App Search)
A 15-year-old girl who swims the breaststroke has had hip pain after training excessively for a national level competition. Based on the MRI scans shown in Figures 5a through 5c, what is the most likely diagnosis?
  • A
  • B
  • C

Femoral neck stress fracture

4%

20/473

External rotator muscle tear

79%

372/473

Slipped capital femoral epiphysis

5%

24/473

Superior acetabular labral tear

11%

50/473

Acetabular dysplasia

1%

3/473

  • A
  • B
  • C

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The MRI scans reveal open physes but no evidence of a slipped capital femoral epiphysis, labral tear, or acetabular dysplasia. The femoral neck does not show evidence of a fracture. The muscle tear seen on the right side lies near the musculotendinous junction of the external rotators of the hip at the level of the lesser trochanter, representing the obturator externus. This is consistent with the forced motion required for the breaststroke kick.

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