Avascular necrosis of both femoral heads

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Bilateral hip pain. The patient is on steroid therapy.

Patient Data

Age: 50 years
Gender: Female

Both femoral heads show subchondral lucency and structural collapse consistent with avascular necrosis. Osteoporosis of femoral necks are also noticed.

Case Discussion

Avascular necrosis of the hip can occur secondary to steroid intake as in this case.

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