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Avascular Necrosis of femoral heads bilaterally with associated osteoarthritic changes.

Galloway TLG - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Avascular Necrosis of femoral heads bilaterally with associated osteoarthritic changes.

History: Patient is a 49 year old African American male with a history of sarcoidosis, sinusitis with intermittent steroid treatment that presents with several years of bilateral hip pain.

Findings: Frontal and frog leg films of both hip joints revealed extensive degenerative changes on the bilateral femoral heads and acetabula. Acetabula demonstrate sclerosis and associated osteophyte and subchondral cyst formation. The bilateral femoral heads demonstrate extensive osteoarthritic changes with sclerosis, cyst formation, bilateral ring osteophytes and some mild flattening of the femoral heads. Coronal T1 and T2 MRI: T1 and T2 MRI revealed extensive degenerative changes on the bilateral femoral heads and acetabula. There is high signal intensity degenerative edema of the femoral heads on T2. Superior acetabula demonstrate low signal intensity on T1 and associated osteophyte and subchondral cyst formation. The bilateral femoral heads demonstrate extensive osteoarthritic changes with sclerosis, cyst formation, bilateral ring osteophytes and some mild flattening of the femoral heads. There are small areas of abnormal signal to suggest avascular necrosis.

Ddx: Secondary Osteoarthritis from avascular necrosis Primary Osteoarthritis

Dxhow: Frontal and frog leg plain films. MRI

Exam: Physical Exam: Bilateral hip pain upon standing and walking. Pt is TTP along hip joints bilaterally. Pt has longstanding pain with worsening in his hip pain recently.

No MeSH data available.


Frontal radiograph of left hip.
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MPX1810_synpic42069: Frontal radiograph of left hip.


Avascular Necrosis of femoral heads bilaterally with associated osteoarthritic changes.

Galloway TLG - MedPix (2008)

Frontal radiograph of left hip.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1810&req=5

MPX1810_synpic42069: Frontal radiograph of left hip.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Avascular Necrosis of femoral heads bilaterally with associated osteoarthritic changes.

History: Patient is a 49 year old African American male with a history of sarcoidosis, sinusitis with intermittent steroid treatment that presents with several years of bilateral hip pain.

Findings: Frontal and frog leg films of both hip joints revealed extensive degenerative changes on the bilateral femoral heads and acetabula. Acetabula demonstrate sclerosis and associated osteophyte and subchondral cyst formation. The bilateral femoral heads demonstrate extensive osteoarthritic changes with sclerosis, cyst formation, bilateral ring osteophytes and some mild flattening of the femoral heads. Coronal T1 and T2 MRI: T1 and T2 MRI revealed extensive degenerative changes on the bilateral femoral heads and acetabula. There is high signal intensity degenerative edema of the femoral heads on T2. Superior acetabula demonstrate low signal intensity on T1 and associated osteophyte and subchondral cyst formation. The bilateral femoral heads demonstrate extensive osteoarthritic changes with sclerosis, cyst formation, bilateral ring osteophytes and some mild flattening of the femoral heads. There are small areas of abnormal signal to suggest avascular necrosis.

Ddx: Secondary Osteoarthritis from avascular necrosis Primary Osteoarthritis

Dxhow: Frontal and frog leg plain films. MRI

Exam: Physical Exam: Bilateral hip pain upon standing and walking. Pt is TTP along hip joints bilaterally. Pt has longstanding pain with worsening in his hip pain recently.

No MeSH data available.