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Saturday 26 April 2014

CASE 251: PAIN at RIGHT HIP, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM



Man 52 yo with history of pain at his right hip  joint 2 years prior, recently the pain is getting more severe, cannot walking (photo).


Plain XRay film of the pelvis looked like normal right and left hip joints.


Upon ultrasound  the right hip joint showed  widering of  the hip joint space with fluid collection, and abnormal echostructure of  the head of femoral bone (see 3 ultrasound pictures at right hip).  





Ultrasound examination of the right hip report was abnormal  in suggesting  arthrosis of right hip joint).
MRI of  the hip joint showed that right femoral head  in necrosis and hydarthrosis, and  small change also at left hip joint.





MRI report is aseptic necrosis of femoral  head  on right and left sides. 


Anatomy of vascular supply of femoral  head : 2  anterior  and posterior  pictures.



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