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A 55-year-old man presents with new and insidious onset groin pain that began 5 months ago. His medical history includes sickle cell anemia. He currently abuses alcohol. Examination reveals painful hip rotation and decreased range of motion. There is no midline pelvic pain with resisted hip adduction. Pelvic radiographs reveal mild subchondral sclerosis about the femoral head, but no joint space narrowing or osteophytosis. Which of the following is the most likely diagnosis?

A. Avascular osteonecrosis
B. Legg-Calve-Perthes disease
C. Osteitis pubis
D. Osteoarthritis

Respuesta :

Answer: Avascular osteonecrosis

Explanation:.

Osteonecrosis of the femoral head is usually caused by the traumatic disruption of its blood supply or poor circulation due to other diseases. It occurs mostly in the person who is in their 50s.

The person who is having a medical history of sickle cells diseases, alcohol use. He is also having pain in hip rotation.

In this case the MRI at later stages shows the sign of this disease. These conditions shows that the client is suffering from Avascular Osteonecrosis.

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