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Avascular necrosis - bilateral hip joints

Case contributed by Aditya Shetty
Diagnosis almost certain

Presentation

Pain during movement in both hip joints with a decreased range of motion.

Patient Data

Age: 50 years
Gender: Female

Bilaterally reduced joint space with remodeled femoral heads showing areas of sclerosis.  Partial collapse of the femoral heads.

Case Discussion

Severe osteoarthritic changes suggest progression of disease to grade IV avascular necrosis.

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