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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Acetabular Subchondral Cyst With Reactive Bone Marrow Edema Extending Into Supraacetabular Portion Of The Right Ilium?

How would you treat a 55 year old female patient suffering from hip pain for years after a major car wreck whose recent MRI shows an acetabular subchondral cyst with reactive bone marrow edema extending into the supraacetabular portion of the right ilium?
Wed, 2 Nov 2016
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Orthopaedic Surgeon 's  Response
hi in my opinion subchondral cyst with reactive bone edema in supraacetabular part of Ilium (R) has to be investigated further . It is unlikely to be due to car wreck or cause of pain for many years.I would suggest 1. Pain killers 2. Contrast enhanced MRI to see the cause of cyst 3. Bone densitometry 4.Complete report of MRI to know the condition of hip bone,
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How To Treat Acetabular Subchondral Cyst With Reactive Bone Marrow Edema Extending Into Supraacetabular Portion Of The Right Ilium?

hi in my opinion subchondral cyst with reactive bone edema in supraacetabular part of Ilium (R) has to be investigated further . It is unlikely to be due to car wreck or cause of pain for many years.I would suggest 1. Pain killers 2. Contrast enhanced MRI to see the cause of cyst 3. Bone densitometry 4.Complete report of MRI to know the condition of hip bone,