Avascular necrosis of femoral head

Case contributed by Dr Ahmed Abd Rabou

Presentation

Football player with bilateral hip pain.

Patient Data

Age: 30 years old
Gender: Male

The patient was found to have sickle cell disease.

Bilateral hip avascular necrosis more advanced on the left side which displays structural collapse and secondary degenerative arthritis. On the right side there is crescent sign of femoral head with marrow edema extending to the neck. Bilateral hip joint effusion more ont he right side.

Case Discussion

Features consistent of  bilateral femoral head avascular necrosis; grade III on the right side and IV on the left side. 

Sickle cell disease is a risk factor for interrupting the blood supply of the femur and developing osteonecrosis of femoral head.

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Case information

rID: 22633
Case created: 12th Apr 2013
Last edited: 30th Dec 2016
Inclusion in quiz mode: Included

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