Symptomatic synovial herniation pit— MRI appearances pre and
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Mr. JA, a 59-year-old active doctor with no significant medical history, presented with a 4-month history of right-sided hip pain radiating to the groin following minor trauma incurred by a jump from a wall. Conservative measures such as rest, non-steroidal anti-inflammatory medication and physiotherapy provided minor relief but failed to resolve the pain. Clinical examination suggested impingement and a labral tear as the source of the pain. The patient went on to have an MRI of the hip, which demonstrated a small synovial herniation pit within the anterior aspect of the superolateral femoral head and neck junction measuring 5 mm with a mild amount of surrounding bone edema and subtle lateral femoral head–neck junction contour abnormality suggestive of early cam-type impingement morphology. There was no fracture evident and the articular surfaces, labrum and the remainder of the pelvis were normal

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