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Doctor insights on: Femoral Head Ostectomy

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What is photopenia involving femoral head?

What is photopenia involving femoral head?

Less dense: Likely that you are looking at a report of an X-ray. There is a standard density that bone has. On an X-ray anything with an appearance more dense than that would be called sclerotic and anything less dense could be called lucency or osteopenia or photopenia. An X-ray is like a photo, it can be under or over penetrated; so a more true measure of bone density would be to get a dexa scan. ...Read more

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What does photopenia of femoral head mean?

What does photopenia of femoral head mean?

Less dense: Likely that you are looking at a report of an X-ray. There is a standard density that bone has. On an X-ray anything with an appearance more dense than that would be called sclerotic and anything less dense could be called lucency or osteopenia or photopenia. An X-ray is like a photo, it can be under or over penetrated; so a more true measure of bone density would be to get a dexa scan. ...Read more

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What to do if I have intensity in the left femoral head?

What to do if I have intensity in the left femoral head?

Do you mean density?: A localized density in a femoral head could be related to a bone Island which is benign, or it could be something more serious. An orthopedic surgeon would be able to tell most of the time just looking at your x-ray. If not, you may need an MRI or CAT scan. See an Ortho specialist. ...Read more

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What are the clinical signs of femoral head retroversion?

What are the clinical signs of femoral head retroversion?

See your peds Doc: Femoral head retroversion or scfe is diagnosed when a child presents with decrease range of motion, and often are not able to complete hip flexion or fully rotate the hip inward. Common is to the knee (referred pain from the hip). Dx requires xrays of the pelvis. Consultation with an orthopaedic surgeon is needed to repair. ...Read more

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What is the percentage of unilateral femoral head retroversion in the population? Why did it take so long to be diagnosed and only b/c of injury too?

What is the percentage of unilateral femoral head retroversion in the population? Why did it take so long to be diagnosed and only b/c of injury too?

Life isn't that way: Often, real life is not exact like numbers are. It might not be known how many people have femoral retroversion, especially in various groups of people (male, female, children, adults, narrow-pelvis, wide-pelvis, short/tall people, different racial groups, etc.). Each person has her own femur shape, so angle measurements go from the retroversion range to the normal range to the anteversion range. ...Read more

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Prostate biopsy correlation) focal area of altered signal inensity in the left femoral head, what does this mean?

Prostate biopsy correlation) focal area of altered signal inensity in the left femoral head, what does this mean?

Here are some. ..: This Q is not quite clear & specific so it's hard to offer right answer. But I would guess it as follows: Did you have bone scan which showed hot spot in left femoral head leading to concern for possible metastatic lesion; so prostate biopsy is advised to correlate with it. But bony metastasis tends to be multi-focal in ribs, spine, pelvis, hips... Very rarely being solitary. Hence, ask Doc for... ...Read more

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What's avascular necrosis of the femoral head?

What's avascular necrosis of the femoral head?

Bone death: Avascular necrosis (also osteonecrosis, bone infarction, aseptic necrosis, ischemic bone necrosis, and (avn) is a disease where there is cellular death (necrosis) of bone components due to interruption of the blood supply. ...Read more

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What does increased femoral head fragment sclerosis avn likely given fx timing broke her hip in early august?

What does increased femoral head fragment sclerosis avn likely given fx timing broke her hip in early august?

I don't understand--: The question fully, but the gist of it is, as I can make of it: ms rabbit79828 had a fx of the hip about 3 months ago ; the head part has gone on to develop avn. Probably the fx was too high ; was fixed. This is a well known complication of such fxs.
Depending upon your symptoms, further treatments may be needed.
Are you having pain at rest or with weight bearing on that side?
See your orthopod. ...Read more

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Is there any reliable cure for avascular necrosis of the femoral head?

Is there any reliable cure for avascular necrosis of the femoral head?

Avascular necrosis: There is no medication to cure avascular necrosis, but the problem can be effectively treated with joint transplantation. It is important to avoid this surgery for as long as comfortably possible, because joint replacements have a limited lifespan and it is not fun to go through multiple procedures. ...Read more

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What is a "positive cam impression of the femoral head and neck junction" and can it be asymptomatic?

What is a "positive cam impression of the femoral head and neck junction" and can it be asymptomatic?

Hip Impingement: What you describe is known as "cam-type femoral acetabular impingement" or fai for short. Fai can be aysmptomatic, however, this condition can lead to premature arthritis that could ultimately require hip replacement surgery. If you have been diagnosed with fai, I would recommend a consultation with an orthopaedic surgeon specializing in hip arthroscopy to discuss your specific situation. ...Read more

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My friend has early stage of avascular necrosis (AVN) of the femoral head. What medication can help him recover?

My friend has early stage of avascular necrosis (AVN) of the femoral head. What medication can help him recover?

AVN: AVN is an issue with blood supply to the head of the femur. There are no medications that are routinely used to treat the condition. Stopping the use of alcohol is encouraged, and ceasing steroids may be warranted in consult with the doctor. The main treatment is phyisical therapy for symptom relief, and then surgical measures if the condition worsens during observation. ...Read more

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I lift weights and have been having pain on the right side of my hip. It feels like the pain is between the pubic bone and femoral head, any ideas?

I lift weights and have been having pain on the right side of my hip. It feels like the pain is between the pubic bone and femoral head, any ideas?

See below: Too many ideas, and that's a problem. If this is something that is obviously bothering you, get a doctor to examine you.
Good luck from nyc. ...Read more

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What can be done to offer some relief for pain caused by a cyst on the femoral head of the hip socket? I have a friend who has been diagnosed with a cyst on the femoral head of her hip area. She has an appt to see a specialist on monday, but is in extruc

What can be done to offer some relief for pain caused by a cyst on the femoral head of the hip socket? I have a friend who has been diagnosed with a cyst on the femoral head of her hip area. She has an appt to see a specialist on monday, but is in extruc

The: The best advice I can give in a situation such as this would be to contact the doctor and inform him/her that the pain is not controlled on the current medication. Usually the patient's doctor will call in a prescription to a 24 hour pharmacy if necessary.
By the date of this post, your friend has seen the specialist. How is she now? Did she have surgery?
I hope all went well. ...Read more

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MRI states "femoral head uncovered". MD says mild dysplasia. Is this related?

MRI states "femoral head uncovered". MD says mild dysplasia. Is this related?

Yes: Yes. Having a relative "uncovering" of the femoral head by the acetabulum is a type of dysphasia of the hip. I would not hesitate to discuss treatment options with your surgeon. ...Read more

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There's a dent in my femoral head, looks like AVN when I compare but doctor said it's where the arteries come out. What could it be? In 9/10 pain

There's a dent in my femoral head, looks like AVN when I compare but doctor said it's where the arteries come out. What could it be? In 9/10 pain

Fovea: The fovea is often seen on xray of the hip joint and looks like a "dent"/depressed area. This should not be painful. However, sometimes xrays do not show early stages of AVN. If pain persists, make another appointment or request an MRI. ...Read more

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D (x)'d w/ l hip dysplasia but no pain only lopsided and walking funny and torso twisted. Can conservative care bring femoral head back to acetabulum?

D (x)'d w/ l hip dysplasia but no pain only lopsided and walking funny and torso twisted. Can conservative care bring femoral head back to acetabulum?

No: The only way 2 get better coverage of the femoral head is 2 have it surgically corrected. With no pain u may want 2 have ur leg lengths checked out. But again this can b treated with a lift in ur shoe. May help but the surgical procedure 2 lengthen a leg is risky & not indicated in a pair free hip. ...Read more

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I recently had an MRI of my rt hip that shows degeneration, thinning of the cartilage, narrowing if hip space and a mass on the femoral head options?

I recently had an MRI of my rt hip that shows degeneration, thinning of the cartilage, narrowing if hip space and a mass on the femoral head options?

What type of mass: The other problems you state are treated like an arthritic joint-i.E meds, injections, therapy, weight loss, surgery. The mass needs to be evaluated to determine what it is and where its from. ...Read more

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I had MRI that said subchrondral low signal noted in left femoral head consistent with avascular neurosis and maybe on tight hip. What does that mean?

I had MRI that said subchrondral low signal noted in left femoral head consistent with avascular neurosis and maybe on tight hip. What does that mean?

Femoral head AVN: The earliest findings of avascular necrosis (AVN) of the femoral head are not seen on conventional x-rays but are seen on an MRI of the hip. Increased signal within the femoral head on the MRI may be indicative of early avascular necrosis. As long as there is no loss of sphericity of the femoral head this is likely an earlier finding that may be responsive to less invasive surgical treatment. ...Read more

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I had CT scan done. Results showed that I have a 5mm stones lying at the level of the right femoral head. No hydronephrosis. Should I be worried?

I had CT scan done. Results showed that I have a 5mm stones lying at the level of the right femoral head. No hydronephrosis. Should I be worried?

That: Doesn't make sense. Are you reading directly from the report? The ureters are not in the same anatomic region as the femoral head, so there is no way to have a kidney/ureter stone there. There can be calcifications (generally not referred to as stones) in and around the hip joint (e.g. Loose bodies or calcific tendinopathy) that could be associated with hip region pain, but more info is needed. ...Read more

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How do you fix a stress fracture of the femoral head?

How do you fix a stress fracture of the femoral head?

Fixation device: Hip pinning
a hip pinning is a procedure done to place several screws across the fractured bone. Hip pinning is generally only done in patients with a femoral neck fracture that is well aligned and minimally displaced. ...Read more

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How long does a stress fracture of the femoral head usually take to heal?

How long does a stress fracture of the femoral head usually take to heal?

Several months: A stress fracture in the hip is more
serious than almost any other
stress fractures.
It will take several months to heal
and is unusual in that it is one
of the few stress fractures that may
require surgical fixation to allow the
best result. ...Read more

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Elite runner. Have cam lesion on left femoral head and have always had trouble flexing as much as right and left si joint pain. Is this why?

Elite runner. Have cam lesion on left femoral head and have always had trouble flexing as much as right and left si joint pain. Is this why?

Many possibilities: Your pain could be as a result of many different things. A thorough history and physical exam and possibly some laboratory and radiology exams are needed to determine the exact cause. Causes of pain may include: trauma (fracture, sprain, arthritis), infection, metabolic conditions (gout), musculoskeletal or biomechanical abnormality and neurologic conditions (neuropathy). ...Read more

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Right hip narrowing of superior joint space. Subchondral cyst formation seen and spurs in right femoral head and superior acetabulum. Suggestions?

Right hip narrowing of superior joint space. Subchondral cyst formation seen and spurs in right femoral head and superior acetabulum. Suggestions?

Weight loss,: Exercise, use of a cane if needed and use of otc meds if no contraindications otherwise you can try physical therapy and perscription medication. If symptoms do not improve or worsen, see an orthopaedic surgeon for options which could include joint replacement surgery. You are describing hip arthritis. ...Read more

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Does subchondral insufficiency fracture of the superolateral aspect of the left femoral head require a surgery?

Does subchondral insufficiency fracture of the superolateral aspect of the left femoral head require a surgery?

Usually: This is a high risk risk stress fracture for progressing to catastrophic fracture. Usually recommended to pin it to prevent prigression ...Read more

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What is mild prominence of the left femoral head neck junction of the hip in xray? This side usually sore but especially when sleeping on this side.

What is mild prominence of the left femoral head neck junction of the hip in xray? This side usually sore but especially when sleeping on this side.

Possible impingement: That refers to a possible impingement condition of the hip joint. If you have soreness at the side of your hip when sleeping on that side, then the diagnosis is likely to be a greater trochanteric bursitis, which can usually be treated with steroid injections and/or NSAIDs (i.e. ibuprofen, Aleve). ...Read more

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I had a CT scan for another issue, and I see in the findings "Subchondral cyst is seen at the left femoral head-neck junction." What does this mean?

I had a CT scan for another issue, and I see in the findings "Subchondral cyst is seen at the left femoral head-neck junction." What does this mean?

Degenerative: Sub means below and chondral means cartilage. This is a degenerative cyst in the bone below the cartilage near the hip joint. These are benign cysts and don't need any specific treatment. They are often seen with osteoarthritis but in your case may just be an incidental finding not requiring any treatment unless you are having hip pain. ...Read more