Avascular necrosis of the femoral head

HPI

A 72-year-old female patient presented with progressive hip pain and limping. Despite the evident need for surgery due to femur head necrosis, she expressed reluctance, citing concerns about a neurological complication in her other hip. This case underscores the relentless nature of femur head necrosis progression and highlights the complex considerations involved in treatment decision-making for patients with multiple comorbidities.

PMH

Osteoporosis, hypertension, dyslipidemia, diabetes

PE

4 cm length discrepancy between the two legs. The patient experienced pain with motion, particularly in the inguinal area, and tenderness was noted upon palpation. Furthermore, there was decreased strength observed in the gluteal muscles.