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Bone infarcts

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Pain

Patient Data

Age: 55 years
Gender: Female
x-ray

There are bilateral serpiginous bands of sclerosis within the proximal tibiae and distal femora. 

Bilateral signs of knee osteoarthritis, worse in the left knee. 

Case Discussion

This patient had a history of long term steroid use for autoimmune disease.

Steroids are also associated with obesity, note the thickness of the soft tissues around the knees.

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