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Doctor insights on: Subchondral Sclerosis Of The Hip

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Dr. Patricia Foster
3 Doctors shared insights

Sclerosis (Definition)

We neurologists employ the term to describe localized damage involving the central nervous system, and sclerosis means scarring. If in many areas, might be multiple sclerosis. If affecting the motor nerve cell, ...Read more


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What is supa-acetabular sclerosis on the hip? Could this be explained.

What is supa-acetabular sclerosis on the hip? Could this be explained.

Let me explain: There are some cases of supra-acetabular sclerosis cases were patient had fracture in that area minor in type and healed leafing that sclerosis. (isolated insufficiency fracture). ...Read more

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What to do if I have been told I have sclerosis of the hips and ostecytes also does any one know if this is like ms?

What to do if I have been told I have sclerosis of the hips and ostecytes also does any one know if this is like ms?

Not at all: You likely possess osteoarthritis of the hips. MS does not directly affect joints of the body, but on rare occasions, steroid usage to treat MS might cause avascular necrosis of the hip joint. Sounds not the case with you. ...Read more

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What is supra-acetabular sclerosis showed on my hip x-Ray?

What is supra-acetabular sclerosis showed on my hip x-Ray?

Wear and tear: Sclerosis is the term used to describe where there has been wear & tear to a bone, and the body has attempted to make the bony area stronger by depositing new bone & calcium into the area. In your case, it is seen in the roof of the acetabulum is a concave surface of the pelvis. The head of the femur meets with the pelvis at the acetabulum, forming the hip joint.[1][2] ...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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What does subchondral edema mean and how is it treated in knees and also hat does sclerosis mean and how it that treated in knees?

What does subchondral edema mean and how is it treated in knees and also hat does sclerosis mean and how it that treated in knees?

Terminology: Subchondral edema means you have a bone bruise under the cartilage in your knee representing microfractures in the trabecular bone. Sclerosis means hardening or increased bone deposition as a result of increased mechanical stress following wolff's law. Treatment can vary depending on age, severity and cause. ...Read more

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My mr report says "there was observed increases minimal subchondral sclerosis at sacroiliac joint forming surfaces of bone." is it important?

My mr report says "there was observed increases minimal subchondral sclerosis at sacroiliac joint forming surfaces of bone." is it important?

Yes and No: This is a finding that can confuse both physicians and patients alike. Typically sacroiliac pain is a constellation of symptoms and one aspect of the pain issue in this area involves the actual bone on bone interaction. The other aspects of this problem stems from the ligaments which attach the two bones on the posterior side and the joint capsule on the anterior side which all cause pain. ...Read more

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Xray recently shows severe joint space narrowing involve the patellofemoral compartment with underlying subchondral sclerosis & osteophyte formation?

Xray recently shows severe joint space narrowing involve the patellofemoral compartment with underlying subchondral sclerosis & osteophyte formation?

Osteoarthritis: These are classical findings of osteoarthritis being spelled out by the radiologist. Osteoarthritis develops as we lose the cartilage that is not seen on X-ray and usually leaves a "joint space" on films. During this degenerative cascade, sclerosis happens to the bone under cartilage and bone tries to increase its surface area when weakened by forming spurs called osteophytes. Good luck. ...Read more

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There's sclerosis & subchondral cyst formation in the femoral head & cyst & spurs in acetabulum. Constant pain. Should I have hip resurfacing surgery?

Hard to know: You desribe degenerative changes. When you shave the hip it might improve but you are losing bone and therefore these problems might re occur or get worse. Maybe you should get a second opinion and you can ask the second doctor. ...Read more

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Subcortical foci of increased signal are present suggestive of some sclerosis and marrow reactive changes in the left hip joint. There is a subcortical cyst in the acetabulum on the right hip measuring 5 mm - what does this mean?

Subcortical foci of increased signal are present suggestive of some sclerosis and marrow reactive changes in the left hip joint. There is a subcortical cyst in the acetabulum on the right hip measuring 5 mm - what does this mean?

The cyst is: An "incidental" finding of no clinical significance. The "reactive marrow and sclerosis indicates relatively RECENT INJURY to the hip joint or early degenerative arthritis
Hope this is helpful!

Dr Z ...Read more

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Xray: R.knee: small joint effusion. Mild medial n patellofemoral compartment degenerative changes with mild subchondral sclerosis. Left knee: same thing like above AND mild joint space narrowing. Can you please explain these findings thank you?

Xray: R.knee: small joint effusion. Mild medial n patellofemoral compartment degenerative changes with mild subchondral sclerosis. Left knee: same thing like above AND mild joint space narrowing. Can you please explain these findings thank you?

Djd: Those findings are c/w degenerative joint disease, ie your knee has some wear on the ant and medial sides. As the cartilage wears down the joint space gets narrowed. The bone directly under the space thickens (sclerosis) in response to increased load. Inflammation leads to swelling (effusion). These are early signs of degenerative joint disease. You're on young side to have arthritis. ...Read more

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MY MRI of lumbar spine. Mild right sacroilitis with subchondral sclerosis with fatty bone marrow. NO significant joint effusioneffusion. Means?

MY MRI of lumbar spine. Mild right sacroilitis with subchondral sclerosis with fatty bone marrow. NO significant joint effusioneffusion. Means?

See below: Sacroiliitis is inflammation of your sacroiliac joints (where the sacrum meets the pelvis). Subchondral sclerosis means there are chronic changes along the margins of those bones as well. Fatty bone marrow is a normal finding. The findings listed above are commonly seen and can be seen in patients with and without back pain. Lack of joint effusion usually means that the inflammation is limited. ...Read more

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What is "mild acetabular articular sclerosis? " can it be a cause of pain?

X ray cause of pain: X-ray finding may or may not be cause of pain. Need good history and physical exam to better decide. ...Read more

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My CT scan of the abdomen and pelvis showed sclerosis on both sides of the SI joints, indicating sacroiltis. Is this indicative of multiple sclerosis?

My CT scan of the abdomen and pelvis showed sclerosis on both sides of the SI joints, indicating sacroiltis. Is this indicative of multiple sclerosis?

Of course not: "Sclerosis" is a general term that refers to pathological hardening of tissue due especially to calcification or overgrowth of fibrous tissue. In the CNS, where there is no fibrous tissue, it refers to an analogous process of tissue degeneration. Multiple sclerosis by definition occurs only in the CNS, not in joints. This sort of information is readily obtainable from a quick web search. ...Read more

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MRI ARTHROGRAM LEFT HIP ; A very small subchondral cyst was noted along the lateral roof of the right acetabulum What does this mean?

MRI ARTHROGRAM LEFT HIP ; A very small subchondral cyst was noted along the lateral roof of the right acetabulum What does this mean?

Early DJD: Subchondral cysts mean cysts in the bone underneath the cartilage, and are a reaction of the bone to degenerative and stress related changes about the joint space. These are usually seen with some cartilage damage and narrowing of the joint space adjacent to the cyst. Many people are asymptomatic with small cysts. ...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?

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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An MRI revealed subchondral bone marrow edema in my left sore left hip. What is that? All bloodwork normal. Thanks.

An MRI revealed subchondral bone marrow edema in my left sore left hip. What is that? All bloodwork normal. Thanks.

Like edema: Or swelling elsewhere in the body, edema in the marrow is a response to injury, inflammation, or other pathologic insults. In that particular location, trauma, arthritis, or potentially avascular necrosis are among the possibilities. Talk to your doc about the significance in your case. ...Read more

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Both CT and MRI's revealed subchondral bone marrow edema in my sore left hip. What is that? All bloodwork was normal. Thanks.

Both CT and MRI's revealed subchondral bone marrow edema in my sore left hip. What is that? All bloodwork was normal. Thanks.

Subchondral Edema: This signifies bone reaction when stressed. Many if not the majority of sore hips are soft tissue injuries. But these tests suggest a possible bone problem. Please see an orthopedist or MD specializes in these injuries. ...Read more

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45 year old african american woman diagnosed subchondral cyst in the superomedial acetabulum. What does this mean?

45 year old african american woman diagnosed subchondral cyst in the superomedial acetabulum. What does this mean?

Big medical words: Subchondral cyst is a benign pocket of fluid beneath the cartilage inside a joint. Superomedial means the upper, inner portion. Acedabulum is the hip socket. It indicates arthritis within the hip joint. ...Read more

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Can you please explain acetabular rim subchondral bone marrow oedema with anterosuperior notching in the bone cortex?

Can you please explain acetabular rim subchondral bone marrow oedema with anterosuperior notching in the bone cortex?

See an orthopedist: This too complex to explain in 400 characters. See a good orthopedic surgeon and have them start from scratch. ...Read more

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Simple renal cysts cholecystectormy clips underlie the liver. Subchondral cysts are seen within the right humeral head and the left acetabulum?

Simple renal cysts cholecystectormy clips underlie the liver. Subchondral cysts are seen within the right humeral head and the left acetabulum?

Refer to doc...: Apparently, what you mentioned are the findings of CT or MRI scan, and most likely not clinically significant with no need to pursue active intervention at this time. For your best benefit, referring this Q to your treating doc would be most logical since s/he possesses most of your clinical information so that the clinical pertinence of the studies can be correlated. ...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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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

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What is the recovery time for subchondral insufficiency fracture left femoral head with extensive bone marrow edema?

What is the recovery time for subchondral insufficiency fracture left femoral head with extensive bone marrow edema?

Depends: Classically we say fractures heal in 6-8 weeks but insufficiency fractures mean the bone was weak or not healthy in the first place and may take longer ...Read more