OCAD MSK

History

Hamstring pain

Figure 1 for case Pelvic floor injury — Figure 1

Figure 2 for case Pelvic floor injury — Figure 2

Discussion

The proximal hamstrings normal. The ischial apophysis is a little wide; mild traction apophysitis. Much of her injury is at the left pelvic floor: ischiocavernosus, bulbocavernosus muscles (I think) and the transverse perineal ligament. There is a partial tear/avulsion of the quadratus femoris from the pubic ramus, and grade 1 strains at origin of the adductor brevis and magnus. There is also obturator internus bursal thickening and edema. (The 2nd page images are partially clipped, but dont cut off the area of interest)

Diagnosis

Pelvic floor injury

Hilary Umans, MD

Courtesy

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