Avascular necrosis of the hip - crescent sign appearance

Case contributed by Fabio Macori
Diagnosis almost certain

Presentation

Bilateral pain, more marked on the right

Patient Data

Age: 65 years
Gender: Male

The study demonstrates advanced osteoarthritic change at the right femoral head which shows loss of normal sphericity; there are a loss of articular space and subchondral cyst.

Less marked osteoarthritis is present at the left hip.

The oblique projection (not real frog-leg projection) shows the presence of a linear area of subchondral lucency at the left femoral head in keeping with "crescent sign"

Case Discussion

Evidence of crescent sign in avascular necrosis of femoral head

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