Femoral physis as seen during hip arthroscopy. The patient was a 13-year-old girl with long-standing right hip pain. Her history and physical examination raised concerns about femoroacetabular impingement; advanced imaging confirmed this diagnosis. She underwent an acetabular take down with removal of the acetabular pincer and the corresponding cam lesion on the femoral head. At the time of the femoroplasty, the gross anatomy of the proximal femoral epiphysis, physis, and metaphysis were seen with amazing clarity. This image is a wonderful demonstration of the beautiful anatomy. Courtesy of Randy Clark, M.D., and Carlos A. Guanche, M.D.