Shashi Sharma

Spontaneous Avascular Necrosis of Bilateral Femoral HeadsâÂÂCase Report

Avascular necrosis of femur as the name implies is directly related to the compromising state of the blood supply and their further pathological changes at that site. This results in major musculoskeletal disability. This may be traumatic or non-traumatic as the crux of the underlying problem is ischemia because of disruption of the vascular nourishment. This eventually leads to the death of marrow and osteocytes which leads to osteonecrosis. This shows in imaging in the form of ischemia or bone collapse and the diagnosis is made with the help of imaging armamentarium. The age of presentation and the history are very important to know before the diagnosis is made. Plain radiography, Computerized Tomography (CT) and Magnetic Resonance Imaging (MRI) play a pivot role in clinching the diagnosis. We present 28-years old male who reported with pain in both hip joints with painful and restricted movements. He was diagnosed as bilateral avascular necrosis of hips on the basis of the radiological findings.