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Bilateral avascular necrosis (AVN) of the femoral heads

beauregard WCB - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Bilateral avascular necrosis (AVN) of the femoral heads

History: Inability to bear weight on right hip with constant, severe, non-radiating pain of abrupt onset. Patient fell yesterday.

Findings: X-ray: Serpntine sclerotic densities in the both femoral heads Nuclear Scan: Focal areas of photopenia in the femoral heads with surrounding mild-to-moderate increased uptake in the subcapital areas and acetabuli. MRI: Serpentine areas of hypointensity seen in the bilateral femoral heads on T2 images. Increased T2 signal seen in the remaining marrow and femoral necks.

Ddx: AVN (Avascular necrosis) Fracture secondary to fall Osteoarthritis

Dxhow: MRI image findings

Exam: Decreased range of motion of right hip secondary to pain. Labs normal.

No MeSH data available.


Avascular necrosis.  T1 MR image.  Again, the areas of osteonecrosis are quite obvious.
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MPX1962_synpic25757: Avascular necrosis. T1 MR image. Again, the areas of osteonecrosis are quite obvious.


Bilateral avascular necrosis (AVN) of the femoral heads

beauregard WCB - MedPix

Avascular necrosis.  T1 MR image.  Again, the areas of osteonecrosis are quite obvious.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1962&req=5

MPX1962_synpic25757: Avascular necrosis. T1 MR image. Again, the areas of osteonecrosis are quite obvious.

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Bilateral avascular necrosis (AVN) of the femoral heads

History: Inability to bear weight on right hip with constant, severe, non-radiating pain of abrupt onset. Patient fell yesterday.

Findings: X-ray: Serpntine sclerotic densities in the both femoral heads Nuclear Scan: Focal areas of photopenia in the femoral heads with surrounding mild-to-moderate increased uptake in the subcapital areas and acetabuli. MRI: Serpentine areas of hypointensity seen in the bilateral femoral heads on T2 images. Increased T2 signal seen in the remaining marrow and femoral necks.

Ddx: AVN (Avascular necrosis) Fracture secondary to fall Osteoarthritis

Dxhow: MRI image findings

Exam: Decreased range of motion of right hip secondary to pain. Labs normal.

No MeSH data available.