Humeral head and femoral head osteonecrosis due to sickle cell disease
Diagnosis certain
Presentation
Abdominal pain in a patient with sickle cell disease.
Patient Data
Age: Young adult
Gender: Male
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Subchondral lucencies with a sclerotic rim in both humeral heads.
Focal cortical collapse at the superior aspect of the right femoral head, with a small subchondral lucency and prominent surrounding sclerosis (Steinberg stage IV). There is sclerosis of the acetabular roof. No joint space narrowing appreciated.
Other than the above, the chest and abdominal x-rays are normal.
Case Discussion
Bilateral humeral head necrosis and right femoral head necrosis in a sickle cell disease patient.
No other abnormal findings on the chest or abdominal x-rays. The abdominal pain could have been due to a sickle cell crisis.
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