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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Main Authors: Kazuyuki Karasuyama, Takuaki Yamamoto, Goro Motomura, Yasuharu Nakashima, Akio Sakamoto, Ryosuke Yamaguchi, Yukihide Iwamoto
Format: Article
Language:English
Published: SAGE Publishing 2014-01-01
Series:Clinical Medicine Insights: Case Reports
Online Access:https://doi.org/10.4137/CCRep.S18171
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spelling 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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