Avascular necrosis and bone infarct - proximal femur

Case contributed by Dr Bahman Rasuli

Presentation

Pelvic pain for two years.

Patient Data

Age: 45
Gender: Male

 Avascular necrosis on the right femoral head with a decreased signal intensity on T1W and T2W sequences, representing a stage D (fibrous-like).

There is also a geographic area of low signal intensity in the upper third portion of the right femur, surrounded by the serpinginous high signal rim. This is a characteristic appearance of a bone infarct.

High signal within the femur neck and the acetabular roof is present. Note the mild joint effusion in the right hip joint.

Case Discussion

This patient was referred with a history of pelvic pain for two years ago after prescription of corticosteroids, which is the presumed cause.

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Case information

rID: 62676
Published: 9th Sep 2018
Last edited: 9th Sep 2018
Inclusion in quiz mode: Included

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