Osteonecrosis of the Femoral Head with Collapsed Medial Lesion
A 60-year-old female experienced the gradual onset of left hip pain without any triggering event. Radiographs showed vertical sclerosis in the center of the femoral head and the lesion inside the boundary demonstrated diffuse bony sclerosis. No collapse was observed at the weight-bearing portion on...
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2014-01-01
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Series: | Clinical Medicine Insights: Case Reports |
Online Access: | https://doi.org/10.4137/CCRep.S18171 |
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doaj-72c15cd7baaa40408b34a62059b215032020-11-25T01:27:33ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762014-01-01710.4137/CCRep.S18171Osteonecrosis of the Femoral Head with Collapsed Medial LesionKazuyuki Karasuyama0Takuaki Yamamoto1Goro Motomura2Yasuharu Nakashima3Akio Sakamoto4Ryosuke Yamaguchi5Yukihide Iwamoto6Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan.Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan.Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan.Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan.Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan.Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan.Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan.A 60-year-old female experienced the gradual onset of left hip pain without any triggering event. Radiographs showed vertical sclerosis in the center of the femoral head and the lesion inside the boundary demonstrated diffuse bony sclerosis. No collapse was observed at the weight-bearing portion on radiograph. However, computed tomography showed a subchondral collapse at the medial lesion. On T2-weighted magnetic resonance imaging, the necrotic lesion showed diffuse high-intensity signals that indicated a prominent repair process. Bone biopsy diagnosed osteonecrosis with associated prominent appositional bone and vascular granulation tissue.https://doi.org/10.4137/CCRep.S18171 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kazuyuki Karasuyama Takuaki Yamamoto Goro Motomura Yasuharu Nakashima Akio Sakamoto Ryosuke Yamaguchi Yukihide Iwamoto |
spellingShingle |
Kazuyuki Karasuyama Takuaki Yamamoto Goro Motomura Yasuharu Nakashima Akio Sakamoto Ryosuke Yamaguchi Yukihide Iwamoto Osteonecrosis of the Femoral Head with Collapsed Medial Lesion Clinical Medicine Insights: Case Reports |
author_facet |
Kazuyuki Karasuyama Takuaki Yamamoto Goro Motomura Yasuharu Nakashima Akio Sakamoto Ryosuke Yamaguchi Yukihide Iwamoto |
author_sort |
Kazuyuki Karasuyama |
title |
Osteonecrosis of the Femoral Head with Collapsed Medial Lesion |
title_short |
Osteonecrosis of the Femoral Head with Collapsed Medial Lesion |
title_full |
Osteonecrosis of the Femoral Head with Collapsed Medial Lesion |
title_fullStr |
Osteonecrosis of the Femoral Head with Collapsed Medial Lesion |
title_full_unstemmed |
Osteonecrosis of the Femoral Head with Collapsed Medial Lesion |
title_sort |
osteonecrosis of the femoral head with collapsed medial lesion |
publisher |
SAGE Publishing |
series |
Clinical Medicine Insights: Case Reports |
issn |
1179-5476 |
publishDate |
2014-01-01 |
description |
A 60-year-old female experienced the gradual onset of left hip pain without any triggering event. Radiographs showed vertical sclerosis in the center of the femoral head and the lesion inside the boundary demonstrated diffuse bony sclerosis. No collapse was observed at the weight-bearing portion on radiograph. However, computed tomography showed a subchondral collapse at the medial lesion. On T2-weighted magnetic resonance imaging, the necrotic lesion showed diffuse high-intensity signals that indicated a prominent repair process. Bone biopsy diagnosed osteonecrosis with associated prominent appositional bone and vascular granulation tissue. |
url |
https://doi.org/10.4137/CCRep.S18171 |
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