Avascular necrosis of femoral head

Case contributed by Thuấn Nguyễn Hoàng
Diagnosis almost certain

Presentation

Bilateral hip pain

Patient Data

Age: 60 years
Gender: Male

There are severe sclerosis and multiple subchondral cysts in the right femoral head, and acetabular impingement with the collapse of the right femoral head, and joint space narrowing. Mild sclerosis is present within the left femoral head. There is no joint space narrowing on the left side.

Findings seen on the x-ray are further delineated on CT.

Case Discussion

This case suggests avascular necrosis of the right femoral head, grade VI, as well as the left femoral head, grade II (Steinberg staging).

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.