Osteochondral lesion of the bilateral femoral heads in a young athletic patient

Korean J Radiol. 2014 Nov-Dec;15(6):792-6. doi: 10.3348/kjr.2014.15.6.792. Epub 2014 Nov 7.

Abstract

Osteochondral lesions of the femoral head are uncommon and few studies have reported their imaging findings. Since joints are at risk of early degeneration after osteochondral damage, timely recognition is important. Osteochondral lesions of femoral head may often be necessary to differentiate from avascular necrosis. Here, we report a case of osteochondral lesions on bilateral femoral heads. This lesion manifested as subchondral cysts in initial radiographs, which led to further evaluation by computed tomography arthrography and magnetic resonance imaging, which revealed overlying cartilage defects.

Keywords: Arthrography; Athlete; Femoral head; Osteochondral lesion.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Hip Joint / abnormalities
  • Hip Joint / diagnostic imaging*
  • Humans
  • Magnetic Resonance Imaging
  • Osteochondritis / diagnosis*
  • Patients
  • Sports
  • Tomography, X-Ray Computed
  • Young Adult