River trout fishing opens on the first Saturday in June. The best time to fish for steelhead is in July or August. Summer salmon run throughout the lakes and rivers â including the Puyallup â of Puget Sound from late June through early fall.
A cam deformity is an eccentricity at the junction between the head of the femur and the neck. The head of the femur should be virtually spherical and should sit on the neck like a lollipop on a (broad) stick: quite symmetrically: if it doesnât sit symmetrically, the range of hip flexion (knee to chest movement) will be restricted or uncomfortable.
Avascular necrosis (AVN) of the femoral head is a pathologic process that results from interruption of blood supply to the bone. AVN of the hip is poorly understood, but this process is the final common pathway of traumatic or nontraumatic factors that compromise the already precarious circulation of the femoral head. Femoral head ischemia results in the death of marrow and osteocytes and usually results in the collapse of the necrotic segment. (See also the Medscape Reference article Imaging in Avascular Necrosis of the Femoral Head, as well as Hip Arthroscopy in Staging Avascular Necrosis of the Femoral Head on Medscape News.)