Acetabular labral tear — SCE Rheumatology MCQ

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HardHip and GroinAcetabular labral tearSCE Rheumatology

A 27-year-old hockey player has deep groin pain with clicking after a twisting injury. FADIR and FABER tests are painful, and symptoms persist despite six weeks of rehabilitation. What is the most appropriate investigation?

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Correct answer: D — MRI arthrogram or high-resolution MRI of the hip

The best answer is “MRI arthrogram or high-resolution MRI of the hip”. MRI arthrogram or high-resolution MRI of the hip most directly resolves the diagnostic or staging uncertainty at this point in the pathway; the other investigations answer different questions or have lower yield. The remaining choices—“Plain abdominal radiograph, within a rheumatology pathway”, “Ultrasound of the scrotum”, “DEXA scan as initial test”, “Nerve conduction studies, within a rheumatology pathway”—are credible in related rheumatology presentations, but each addresses a different diagnosis, investigation, treatment sequence or complication and does not fit the decisive findings in this stem.

Reference: NICE NG226 osteoarthritis: https://www.nice.org.uk/guidance/ng226/chapter/Recommendations