Avascular necrosis - bilateral femoral heads

Case contributed by Dr Mohammad A. ElBeialy


50 year old female with bilateral hip pain.

Patient Data

Age: 50 years
Gender: Female

Frontal radiographs show mild collpase of both femoral heads with patchy sclerosis and lucency as well as mild 2ry degenerative changes of the hip joints and relatively narrowed joint spaces.

  • Both femoral heads appear partially collapsed with subchondral hypointense fracture lines and patchy sclerosis. Marrow edema signal of the proximal femora are, more on the right side. Mild subchondral degenerative changes of both acetabulae, more evident on the right side with subchondral pseudo-cystic changes. Relatively narrowed both hip joint spaces; more prominent on the right side.
  • Mild bilateral hip joint effusion.
  • Fatty atrophic changes of the peri-articular musculatures.

Case Discussion

Bilateral femoral avascular necrosis (AVN) stage IV, with proximal femoral marrow edema more on the right side, as well as bilateral hip joint mild 2ry degenerative changes and mild joint effusion.

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Case information

rID: 26643
Published: 1st Jan 2014
Last edited: 16th Dec 2015
Inclusion in quiz mode: Included

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