Avascular necrosis of femoral head

Case contributed by Paul Smith
Diagnosis certain

Presentation

Left hip pain.

New increased sclerosis in the left hip in a patient with osteoporosis treated with bisphosphonates. There is a radiolucent crescent demonstrated at the femoral head which parallels the articular surface indicating subchondral collapse.

Incidental note is made of increased sclerosis in the right femoral hip surrounding a wide caliber linear lucency, consistent with removal of a dynamic hip screw.

Case Discussion

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