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  • Meemers
    Post count: 1

    Dr. Corenman
    I sustained a work injury lifting heavy boxes in 2006. X-rays revealed Spondylolisthesis at L5-S1. I have since had many MRI scans, CT scans etc… Latest June 18, 2013 MRI Impression: Bilateral L5 pars defects with anterolisthesis of L5-S1 consistent with spondylolysis and spondylolisthesis. 2. Perineural cysts most prominent at L2-L3 and L3-L4 levels bilaterally 3. Posterior disc bulge at the L4-L5 level with new annular tear of the posterior annular fibers in comparison to 2007. 4. Levvorotoscoliosis of the lumbar spine centered at the T12-L1 Level.
    Hip MRI 6/18/2013 reveals: Miminal partial-thickness undercutting or tearing along the left acetabular labrum at 1 to 2:00, Slightly hypoplastic or deficient right superior acetabulum with tearing of the anterosuperior labrum from a 1 to 2:00 Articular surface at the right hip remains uniform.
    Hip pain started shortly after injury in 2006. Diagnosed with AVN of right femoral head.
    After 100 visits of Hyperbaric Oxygen Therapy and $12,500 out of pocket, the AVN resolved.
    Xray report states increased lumbar lordosis.
    There are no apparent causes to the bilateral labral tears. My question is: Can increased lumbar lordosis result in acetabular labral tears?
    My physical activities have slowed down tremendously since my injury in 2006. I do not participate in any sports and have not had any falls, or accidents that would have caused the labral tears. The pain has remained since 2006 but only recent (June 2013) MRI scans revealed the tears.
    I am in the process of scheduling an appointment at the Steadman Clinic. Waiting to hear back. I live in Utah. Please advise. Any reference to articles, publications is greatly appreciated. Your opinion is highly appreciated. Thank you

    Donald Corenman, MD, DC
    Post count: 8459

    Hyperlordosis will not cause tears of the labrum of the hip. Tears of the labrum normally results from FAI (femoral acetabular impingement). If the femoral head deformed due to AVN (avascular necrosis), this could also be a cause.

    Pain could result from these tears but also from the spondylolisthesis as referral pain from the fracture or nerve root impingement. You would need a workup to determine the pain source (or sources).

    Dr. Corenman

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