Secondary degenerative change

Case contributed by Dr Praveen Jha

Presentation

Limping and pain in right hip

Patient Data

Age: 25 years
Gender: Male
X-ray

Marginal osteophytosis, and subchondral cystic changes at hip joint.

CT

Findings seen on x-ray are further delineated.

MRI

Marginal osteophytosis, extensive marrow edema and subchondral cystic changes. No evidence of AVN.

X-ray

Post-operative x ray

THR prosthesis is well positioned.

Case Discussion

Degenerative changes in young patients are concerning for an underlying aetiology. It may be post-traumatic, inflammatory or related to avascular necrosis. MRI can differentiate avascular necrosis from other causes. 

Post-operatively the diagnosis was confirmed, however due to extensive nature of degenerative changes, hemiarthroplasty was done.

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Case information

rID: 16145
Case created: 21st Dec 2011
Last edited: 14th Jan 2016
Inclusion in quiz mode: Included

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