Femoral head avascular necrosis

Case contributed by Amr Farouk
Diagnosis certain

Presentation

Left hip pain and limping.

Patient Data

Age: 28 years
Gender: Male
x-ray

Left femoral head heterogeneous sclerotic texture with a subchondral crescentic lucent line. 

Irregular shaped focal subchondral area of abnormal signal intensity is seen in the antero-superior aspect of the left femoral head appearing of heterogeneous low signal on T1 and of bright signal on STIR weighted images & adjacent similar patchy area of marrow edema is seen in left femoral head.

Case Discussion

Left femoral head avascular necrosis (stage III Ficat classification).

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