CHSJ

Curr Health Sci J, vol. 40, no. 4, 2014

A Case of Bilateral Aseptic Necrosis of the Femoral Head

[Case Reports]

DIANA KAMAL(1), RODICA TRAISTARU(2), C.K. KAMAL(1), D.O. ALEXANDRU(3), L. MOGOANTA(4), D. GRECU(5)


(1)university of medicine and pharmacy of craiova,
(2)Department of Physical Medicine and Rehabilitation, University of Medicine and Pharmacy of Craiova,
(3)Department of Medical Informatics, University of Medicine and Pharmacy of Craiova,
(4)Research Center for Microscopic Morphology and Immunology, University of Medicine and Pharmacy of Craiova,
(5)Department of Orthopaedics and Traumatology, University of Medicine and Pharmacy of Craiova


Abstract:

Aseptic necrosis of the femoral head is a disease whose etiology is not completely elucidated and generally affects young adults aged between 30 and 50 years. In a significant number of patients bilateral disease occurs, which makes detection in its early stages constitute an important objective. We present the case of a male patient, aged 23 years, with the following risk factors: smoking and chronic alcohol consumption, who is diagnosed with aseptic necrosis of the left femoral head, ARCO stage IV, and in just six months after the diagnosis and hip arthroplasty, he suffers an injury which leads to the same diagnosis in the contralateral hip. We want to emphasize that for all patients with a high index of suspicion there should be an MRI examination, because the plane radiographs or CT are most often not relevant in detecting early signs of this condition. Diagnosis of aseptic necrosis of the femoral head in the early stages is a necessity in order to obtain an optimal result of conservative treatment.


Keywords: aseptic necrosis, femoral head, MRI.



Corresponding: Rodica Traistaru, University of Medicine and Pharmacy of Craiova, No.2, Petru Rares St., Craiova 200349, Romania; e-mail: rodicatraistru @ hotmail.com


DOI 10.12865/CHSJ.40.04.12 - Download PDF
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