Femoral head avascular necrosis (FHAVN)

Case contributed by Dr Heba Mohamed

Presentation

Patient with history of hip trauma years ago, now complains of left hip pain and limited mobility.

Patient Data

Age: 45 years
Gender: Male
Modality: MRI

Abnormal bone marrow signal intensity of the superior medial aspect of the femoral head (weight bearing area). It elicits persistent low signal on both T1WI and T2WI. Flattening of the femoral head.

Mild widening of joint space.

Left hip joint effusion.

Case Discussion

45 year old male with history of hip trauma described left hip pain. MRI shows abnormal T1/T2 WI low signal intensity involving most of the left femoral head as well as a small joint effusion. No evidence of secondary osteoarthritic changes or narrowed joint space. MRI findings suggest advanced AVN of the left femoral head.

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Case Information

rID: 48572
Case created: 14th Oct 2016
Last edited: 16th Oct 2016
Inclusion in quiz mode: Included

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