EURORAD ESR

Case 15130

Otto pelvis

Author(s)
Tosha Desai1 Nandini Bahri2Shilpa Chudasama3 Dipak Parmar4 Shailesh Bhuriya5

1 Tutor, Department of Radiodiagnosis
2 Professor, Department of Radiodiagnosis
3 Associate Professor, Department of Radiodiagnosis
4 Associate Professor, Department of Orthopedics
5 Resident, Department of Radiodiagnosis

Shri GGG HOSPTAL, M.P Shah medical college; P.N Marg 361008 Jamnagar, India; Email:toshajdesai@gmail.com
 
Patient
female, 35 year(s)
 
 
  • Figure 1
    1. Xray PBH AP view- Bilateral Protrusio acetabuli

    Medial migration of femoral heads with respect to ilio-ischial lines bilaterally (right > left) with center edge angle of Wiberg 70 degree on right side and 58 degree on left side suggestive of bilateral protrusio...

     
    Area of Interest: Bones; Musculoskeletal bone; Pelvis; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Screening; Special Focus: Pathology;
     
     
  • Figure 2
    Xray PBH AP view- Grade IV osteoarthritis

    Bilateral severe concentric joint space narrowing, femoral head deformity, sub-chondral sclerosis and femoro-acetabular osteophyte formation in supero-lateral and infero-medial joint spaces.

     
    Area of Interest: Bones; Musculoskeletal bone; Pelvis; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Screening; Special Focus: Arthritides;
     
     
  • Figure 3
    T2WI coronal MRI of hip joint

    Above mentioned radiographic findings confirmed. Near complete articular cartilage loss, sub-chondral tiny cystic changes, sub-chondral curvilinear hypointensity in left femoral head epiphyses, possibility of...

     
    Area of Interest: Bones; Musculoskeletal joint; Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Arthritides;
     
     
  • Figure 4
    T1WI STIR Axial MRI of hip joint

    Patchy sub-chondral marrow hyperintensities in bilateral femoral heads and medial acetabulum with minimal bilateral joint effusion.

     
    Area of Interest: Bones; Musculoskeletal joint; Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Arthritides;
     
     
Medial migration of femoral heads with respect to ilio-ischial lines bilaterally (right > left) with center edge angle of Wiberg 70 degree on right side and 58 degree on left side suggestive of bilateral protrusio acetabuli.
 
Bilateral severe concentric joint space narrowing, femoral head deformity, sub-chondral sclerosis and femoro-acetabular osteophyte formation in supero-lateral and infero-medial joint spaces.
 
Above mentioned radiographic findings confirmed. Near complete articular cartilage loss, sub-chondral tiny cystic changes, sub-chondral curvilinear hypointensity in left femoral head epiphyses, possibility of sub-chondral fracture.
 
Patchy sub-chondral marrow hyperintensities in bilateral femoral heads and medial acetabulum with minimal bilateral joint effusion.
 
 
 
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