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Avascular necrosis: steroid induced

Case contributed by Oliver Hennessy
Diagnosis certain

Presentation

Increasing bone and joint pain in a 25 year old man, AML in the past with high dose steroids

Patient Data

Age: 25
Gender: Male

Both knee xrays show changes of extensive AVN involving the distal femur on both sides and proximal tibia on the right

Changes of advance osteoarthritis are also noted

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