Osteonecrosis of humeral and femoral heads

Case contributed by Dr Utkarsh Kabra


Pain with restriction of motion

Patient Data

Age: 50 years
Gender: Male

Right shoulder joint

Serpiginous peripheral /outer dark (sclerosis) and inner bright (granulation tissue) on T2WI in the proximal humeral head (double line sign) with areas of subchondral collapse and surrounding marrow edema.


Left shoulder and bilateral hip joints

Screening of contralateral shoulder and hip joints also shows avascular necrosis of bilateral femoral heads and left humeral head.

Case Discussion

Findings show osteonecrosis/avascular necrosis of both humeral and femoral heads. Possible causes include steroid, alcohol intake, sickle cell anemia or other hematological disorders(details not known in this case).

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Case information

rID: 73029
Published: 30th Dec 2019
Last edited: 1st Jan 2020
Inclusion in quiz mode: Included

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