Hip avascular necrosis - bilateral

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Chronic pain in both hips, aggravated by walking.

Patient Data

Age: 35 years
Gender: Female

Bilateral abnormal marrow signal intensities in the femoral heads are characteristic of avascular necrosis (AVN); a hypointense line adjacent to a hyperintense line with surrounding marrow edematous changes.

Mild effusion is present in the right hip joint.

Case Discussion

Imaging findings show osteonecrosis/avascular necrosis of both femoral heads. 

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