Early diagnosis of osteonecrosis in systemic lupus erythematosus with magnetic resonance imaging. Failure of core decompression.
A 42-year-old white male with systemic lupus erythematosus developed radiologically evident left femoral head osteonecrosis. Magnetic resonance imaging showed evidence of bilateral disease, including the asymptomatic right femoral head. Despite early surgical decompression of the latter lesion, there was rapid progression requiring total hip joint replacement.
D000328:Adult; D005271:Femur Head Necrosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D010020:Osteonecrosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery