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Avascular necrosis of the hip

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Left hip pain. Left femur surgery 27 years back.

Patient Data

Age: Adult
Gender: Male
x-ray

Left femoral head shows cortical irregularity and subarticular lucencies. This is associated with narrowed upper joint space, marginal osteophytes and osseous loose bodies.

Left dynamic hip screw is noted.

Case Discussion

 Avascular necrosis of the left hip with secondary osteoarthritic changes.

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