Ewha Med J.  2015 Oct;38(3):144-145. 10.12771/emj.2015.38.3.144.

Avascular Necrosis of the Femoral Head in Patient Visiting for Abdominal Pain

• Jung JH
• Seo YH
• Choi SJ

• KMID: 2171354
• DOI: http://doi.org/10.12771/emj.2015.38.3.144

Abstract

No abstract available.

MeSH Terms

Abdominal Pain*
Head*
Humans
Necrosis*

Figure

• 

  Fig. 1 Sacro-illiac joint AP, both (A) and right side (B). The prominence of the head-neck junction produces a cam effect as the prominence of the femoral head impinges against the associated region of the acetabulum when the femoral head rotates into the hip joint [4].

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  Fig. 2 MR images. They show serpiginous high signal intensity areas at both femoral heads are seen on T2 fat saturation images, transverse (A) and coronal (B) section, and on the low sacro-illiac line on T1-weighted image (C) without significant flattening or joint space narrowing. Findings are compatible with avascular necrosis, Association Research Circulation Osseous (ARCO) stage II; demarcating sclerosis in femoral head, no collapse [5].

Reference

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3. Gallegos NC, Hobsley M. Abdominal wall pain: an alternative diagnosis. Br J Surg. 1990; 77:1167–1170.

4. Beall DP, Sweet CF, Martin HD, Lastine CL, Grayson DE, Ly JQ, et al. Imaging findings of femoroacetabular impingement syndrome. Skeletal Radiol. 2005; 34:691–701.

5. Kaushik AP, Das A, Cui Q. Osteonecrosis of the femoral head: an update in year 2012. World J Orthop. 2012; 3:49–57.