Presentation
Limping and pain in right hip
Patient Data
Age: 25 years
Gender: Male
From the case:
Secondary degenerative change - hip joint
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Marginal osteophytosis, and subchondral cystic changes at the right hip joint.
From the case:
Secondary degenerative change - hip joint
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Marginal osteophytosis, extensive marrow edema and subchondral cystic changes. No evidence of AVN.
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The total hip replacement is well-positioned.
Case Discussion
Degenerative changes in young patients are concerning for an underlying etiology. 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 the extensive nature of degenerative changes a total hip replacement was undertaken.