SlideShare a Scribd company logo
1 of 3
Download to read offline
CASE 304: HIP PAIN, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER,
HCMC, VIETNAM.
Man 43 yo, one week ago, pain at his left hip while moving his thigh, no
trauma history.
Ultrasound first saw the left hip joint having a small amout of fluid
collection and more Power Doppler in muscles around the hip ( see 4 US
images).
MSCT was done but radiologist said nothing abnormal detected.
MRI detected abnormal head of left femur bone looked like aseptic
necrotic femoral head.
Please compare diagnostic values of 3 diagnostic modalities for this
case:ultrasound, MSCT and MRI.

More Related Content

What's hot

Should ultrasound be used routinely in the diagnosis of rheumatoid arthritis
Should ultrasound be used routinely in the diagnosis of rheumatoid arthritisShould ultrasound be used routinely in the diagnosis of rheumatoid arthritis
Should ultrasound be used routinely in the diagnosis of rheumatoid arthritisSamar Tharwat
 
59341912 case-study-on-amputation
59341912 case-study-on-amputation59341912 case-study-on-amputation
59341912 case-study-on-amputationhomeworkping4
 
Shoulder sports injury overview and instability basics
Shoulder sports injury overview and instability basicsShoulder sports injury overview and instability basics
Shoulder sports injury overview and instability basicsPuneet Monga
 
Conus medullaris and cauda equina syndrome
Conus medullaris and cauda equina syndromeConus medullaris and cauda equina syndrome
Conus medullaris and cauda equina syndromesnich
 
Rotator cuff evidence update
Rotator cuff evidence updateRotator cuff evidence update
Rotator cuff evidence updatePuneet Monga
 
Crimson Publishers-Abdominal Pain Caused by Bilateral Acetabular Fractures Se...
Crimson Publishers-Abdominal Pain Caused by Bilateral Acetabular Fractures Se...Crimson Publishers-Abdominal Pain Caused by Bilateral Acetabular Fractures Se...
Crimson Publishers-Abdominal Pain Caused by Bilateral Acetabular Fractures Se...CrimsonPublishersOPROJ
 
Teleconferences 22.2.18
Teleconferences 22.2.18Teleconferences 22.2.18
Teleconferences 22.2.18Toey Sutisa
 
PAWA Vs NEWMAN - GA vs RA for Hip Fracture
PAWA Vs NEWMAN - GA vs RA for Hip FracturePAWA Vs NEWMAN - GA vs RA for Hip Fracture
PAWA Vs NEWMAN - GA vs RA for Hip FractureAmit Pawa
 
Retrospective analysis on mini-open technique for Achilles tendon repair
Retrospective analysis on mini-open technique for Achilles tendon repairRetrospective analysis on mini-open technique for Achilles tendon repair
Retrospective analysis on mini-open technique for Achilles tendon repairWenjay Sung
 
Rotator Cuff Evidence Update
Rotator Cuff Evidence Update  Rotator Cuff Evidence Update
Rotator Cuff Evidence Update The Arm Clinic
 
Anaesthesia for THR & TKR
Anaesthesia for THR & TKRAnaesthesia for THR & TKR
Anaesthesia for THR & TKRAftab Hussain
 
La hernie du sportif : diagnostic et traitement, technique mini-ainvasive -Dr...
La hernie du sportif : diagnostic et traitement, technique mini-ainvasive -Dr...La hernie du sportif : diagnostic et traitement, technique mini-ainvasive -Dr...
La hernie du sportif : diagnostic et traitement, technique mini-ainvasive -Dr...VitamineB
 
Labral injuries and traumatic instability
Labral injuries and traumatic instabilityLabral injuries and traumatic instability
Labral injuries and traumatic instabilityPuneet Monga
 
Shoulder arthroplasty outcomes audit
Shoulder arthroplasty outcomes auditShoulder arthroplasty outcomes audit
Shoulder arthroplasty outcomes auditPuneet Monga
 
The Direct Anterior Hip Replacement
The Direct Anterior Hip ReplacementThe Direct Anterior Hip Replacement
The Direct Anterior Hip Replacementwashingtonortho
 
Ortho practice hip v ls article
Ortho practice hip v ls articleOrtho practice hip v ls article
Ortho practice hip v ls articleSatoshi Kajiyama
 
Total Knee Replacement by Dr. Neelam V.Ramana Reddy
Total Knee Replacement by Dr. Neelam V.Ramana ReddyTotal Knee Replacement by Dr. Neelam V.Ramana Reddy
Total Knee Replacement by Dr. Neelam V.Ramana ReddyNeelam Ramana Reddy
 

What's hot (18)

Orthopedic pelvic fracture
Orthopedic   pelvic fractureOrthopedic   pelvic fracture
Orthopedic pelvic fracture
 
Should ultrasound be used routinely in the diagnosis of rheumatoid arthritis
Should ultrasound be used routinely in the diagnosis of rheumatoid arthritisShould ultrasound be used routinely in the diagnosis of rheumatoid arthritis
Should ultrasound be used routinely in the diagnosis of rheumatoid arthritis
 
59341912 case-study-on-amputation
59341912 case-study-on-amputation59341912 case-study-on-amputation
59341912 case-study-on-amputation
 
Shoulder sports injury overview and instability basics
Shoulder sports injury overview and instability basicsShoulder sports injury overview and instability basics
Shoulder sports injury overview and instability basics
 
Conus medullaris and cauda equina syndrome
Conus medullaris and cauda equina syndromeConus medullaris and cauda equina syndrome
Conus medullaris and cauda equina syndrome
 
Rotator cuff evidence update
Rotator cuff evidence updateRotator cuff evidence update
Rotator cuff evidence update
 
Crimson Publishers-Abdominal Pain Caused by Bilateral Acetabular Fractures Se...
Crimson Publishers-Abdominal Pain Caused by Bilateral Acetabular Fractures Se...Crimson Publishers-Abdominal Pain Caused by Bilateral Acetabular Fractures Se...
Crimson Publishers-Abdominal Pain Caused by Bilateral Acetabular Fractures Se...
 
Teleconferences 22.2.18
Teleconferences 22.2.18Teleconferences 22.2.18
Teleconferences 22.2.18
 
PAWA Vs NEWMAN - GA vs RA for Hip Fracture
PAWA Vs NEWMAN - GA vs RA for Hip FracturePAWA Vs NEWMAN - GA vs RA for Hip Fracture
PAWA Vs NEWMAN - GA vs RA for Hip Fracture
 
Retrospective analysis on mini-open technique for Achilles tendon repair
Retrospective analysis on mini-open technique for Achilles tendon repairRetrospective analysis on mini-open technique for Achilles tendon repair
Retrospective analysis on mini-open technique for Achilles tendon repair
 
Rotator Cuff Evidence Update
Rotator Cuff Evidence Update  Rotator Cuff Evidence Update
Rotator Cuff Evidence Update
 
Anaesthesia for THR & TKR
Anaesthesia for THR & TKRAnaesthesia for THR & TKR
Anaesthesia for THR & TKR
 
La hernie du sportif : diagnostic et traitement, technique mini-ainvasive -Dr...
La hernie du sportif : diagnostic et traitement, technique mini-ainvasive -Dr...La hernie du sportif : diagnostic et traitement, technique mini-ainvasive -Dr...
La hernie du sportif : diagnostic et traitement, technique mini-ainvasive -Dr...
 
Labral injuries and traumatic instability
Labral injuries and traumatic instabilityLabral injuries and traumatic instability
Labral injuries and traumatic instability
 
Shoulder arthroplasty outcomes audit
Shoulder arthroplasty outcomes auditShoulder arthroplasty outcomes audit
Shoulder arthroplasty outcomes audit
 
The Direct Anterior Hip Replacement
The Direct Anterior Hip ReplacementThe Direct Anterior Hip Replacement
The Direct Anterior Hip Replacement
 
Ortho practice hip v ls article
Ortho practice hip v ls articleOrtho practice hip v ls article
Ortho practice hip v ls article
 
Total Knee Replacement by Dr. Neelam V.Ramana Reddy
Total Knee Replacement by Dr. Neelam V.Ramana ReddyTotal Knee Replacement by Dr. Neelam V.Ramana Reddy
Total Knee Replacement by Dr. Neelam V.Ramana Reddy
 

More from hungnguyenthien

Covid19 and Thyroid Gland, Dr Tran Ngan Chau et al, Medic Medical Center, HCM...
Covid19 and Thyroid Gland, Dr Tran Ngan Chau et al, Medic Medical Center, HCM...Covid19 and Thyroid Gland, Dr Tran Ngan Chau et al, Medic Medical Center, HCM...
Covid19 and Thyroid Gland, Dr Tran Ngan Chau et al, Medic Medical Center, HCM...hungnguyenthien
 
Report on LUS for post COVID19 Infection Patients, NGUYEN THIEN HUNG et al, M...
Report on LUS for post COVID19 Infection Patients, NGUYEN THIEN HUNG et al, M...Report on LUS for post COVID19 Infection Patients, NGUYEN THIEN HUNG et al, M...
Report on LUS for post COVID19 Infection Patients, NGUYEN THIEN HUNG et al, M...hungnguyenthien
 
Lung Ultrasound Post-COVID-19 Infection, Hung Nguyen Thien and Ultrasound Dep...
Lung Ultrasound Post-COVID-19 Infection, Hung Nguyen Thien and Ultrasound Dep...Lung Ultrasound Post-COVID-19 Infection, Hung Nguyen Thien and Ultrasound Dep...
Lung Ultrasound Post-COVID-19 Infection, Hung Nguyen Thien and Ultrasound Dep...hungnguyenthien
 
LUNG ULTRASOUND for COVID-19
LUNG ULTRASOUND  for COVID-19LUNG ULTRASOUND  for COVID-19
LUNG ULTRASOUND for COVID-19hungnguyenthien
 
H. pylori update 2019[863] Dr VÕ THỊ CHI MAI
H. pylori update 2019[863] Dr VÕ THỊ CHI MAIH. pylori update 2019[863] Dr VÕ THỊ CHI MAI
H. pylori update 2019[863] Dr VÕ THỊ CHI MAIhungnguyenthien
 
H pylori clin virulence-diag aspects, Dr VO THI CHI MAI
H pylori clin virulence-diag aspects, Dr VO THI CHI MAIH pylori clin virulence-diag aspects, Dr VO THI CHI MAI
H pylori clin virulence-diag aspects, Dr VO THI CHI MAIhungnguyenthien
 
LAO CỘT SỐNG và SIÊU ÂM, Dr PHẠM THỊ THANH XUÂN
LAO CỘT SỐNG và SIÊU ÂM, Dr PHẠM THỊ THANH XUÂNLAO CỘT SỐNG và SIÊU ÂM, Dr PHẠM THỊ THANH XUÂN
LAO CỘT SỐNG và SIÊU ÂM, Dr PHẠM THỊ THANH XUÂNhungnguyenthien
 
Evaluation of Hyperferritinemia in Diabetic Patients
Evaluation of Hyperferritinemia in Diabetic PatientsEvaluation of Hyperferritinemia in Diabetic Patients
Evaluation of Hyperferritinemia in Diabetic Patientshungnguyenthien
 
ABDOMINAL AORTIC ANEURYSM @ MEDIC CENTER
ABDOMINAL AORTIC ANEURYSM @ MEDIC CENTERABDOMINAL AORTIC ANEURYSM @ MEDIC CENTER
ABDOMINAL AORTIC ANEURYSM @ MEDIC CENTERhungnguyenthien
 
NECK CYSTS, Dr PHAM THI THANH XUAN
NECK CYSTS, Dr PHAM THI THANH XUANNECK CYSTS, Dr PHAM THI THANH XUAN
NECK CYSTS, Dr PHAM THI THANH XUANhungnguyenthien
 
SWE-SSI and TS in Chronic Liver Disease, Ngô thị Huyền Trang và cs
SWE-SSI and TS in Chronic Liver Disease, Ngô thị Huyền Trang và csSWE-SSI and TS in Chronic Liver Disease, Ngô thị Huyền Trang và cs
SWE-SSI and TS in Chronic Liver Disease, Ngô thị Huyền Trang và cshungnguyenthien
 
BIRADS- 5 NON CANCER, Dr Đỗ Bình Minh Dr Hương Giang
BIRADS- 5 NON CANCER, Dr Đỗ Bình Minh Dr Hương GiangBIRADS- 5 NON CANCER, Dr Đỗ Bình Minh Dr Hương Giang
BIRADS- 5 NON CANCER, Dr Đỗ Bình Minh Dr Hương Gianghungnguyenthien
 
CAP va ARFI trong Gan Mỡ , Nguyễn Thiện Hùng, Nguyễn thị Hồng Anh , Phạm thị ...
CAP va ARFI trong Gan Mỡ , Nguyễn Thiện Hùng, Nguyễn thị Hồng Anh , Phạm thị ...CAP va ARFI trong Gan Mỡ , Nguyễn Thiện Hùng, Nguyễn thị Hồng Anh , Phạm thị ...
CAP va ARFI trong Gan Mỡ , Nguyễn Thiện Hùng, Nguyễn thị Hồng Anh , Phạm thị ...hungnguyenthien
 
Diffuse Large B Cell Lymphoma and Appearences in Oral Cavity, Maxillary and M...
Diffuse Large B Cell Lymphoma and Appearences in Oral Cavity, Maxillary and M...Diffuse Large B Cell Lymphoma and Appearences in Oral Cavity, Maxillary and M...
Diffuse Large B Cell Lymphoma and Appearences in Oral Cavity, Maxillary and M...hungnguyenthien
 
MSI-H/DMMR SOLID CANCERS, Dr BÙI ĐẮC CHÍ
MSI-H/DMMR SOLID CANCERS, Dr BÙI ĐẮC CHÍMSI-H/DMMR SOLID CANCERS, Dr BÙI ĐẮC CHÍ
MSI-H/DMMR SOLID CANCERS, Dr BÙI ĐẮC CHÍhungnguyenthien
 
TIRADs ACR 2017, Dr Kieu Trang- Dr Quynh Anh- Dr Binh Minh
TIRADs ACR  2017, Dr Kieu Trang- Dr Quynh Anh- Dr Binh MinhTIRADs ACR  2017, Dr Kieu Trang- Dr Quynh Anh- Dr Binh Minh
TIRADs ACR 2017, Dr Kieu Trang- Dr Quynh Anh- Dr Binh Minhhungnguyenthien
 
Liver Stiffness Evaluation in DM Type 2, Ng t Hồng Anh- Ng Thiện Hùng.
Liver Stiffness Evaluation  in DM Type 2, Ng t Hồng Anh- Ng Thiện Hùng.Liver Stiffness Evaluation  in DM Type 2, Ng t Hồng Anh- Ng Thiện Hùng.
Liver Stiffness Evaluation in DM Type 2, Ng t Hồng Anh- Ng Thiện Hùng.hungnguyenthien
 
Case 430: FACIAL EDEMA, Dr PHAN THANH HẢI, Dr LÊ NGỌC VINH
Case 430: FACIAL EDEMA, Dr PHAN THANH HẢI, Dr LÊ NGỌC VINHCase 430: FACIAL EDEMA, Dr PHAN THANH HẢI, Dr LÊ NGỌC VINH
Case 430: FACIAL EDEMA, Dr PHAN THANH HẢI, Dr LÊ NGỌC VINHhungnguyenthien
 
Case 422; TORSION of TESTIS, Dr PHAN THANH HẢI
Case 422; TORSION of TESTIS, Dr PHAN THANH HẢICase 422; TORSION of TESTIS, Dr PHAN THANH HẢI
Case 422; TORSION of TESTIS, Dr PHAN THANH HẢIhungnguyenthien
 

More from hungnguyenthien (20)

Covid19 and Thyroid Gland, Dr Tran Ngan Chau et al, Medic Medical Center, HCM...
Covid19 and Thyroid Gland, Dr Tran Ngan Chau et al, Medic Medical Center, HCM...Covid19 and Thyroid Gland, Dr Tran Ngan Chau et al, Medic Medical Center, HCM...
Covid19 and Thyroid Gland, Dr Tran Ngan Chau et al, Medic Medical Center, HCM...
 
Report on LUS for post COVID19 Infection Patients, NGUYEN THIEN HUNG et al, M...
Report on LUS for post COVID19 Infection Patients, NGUYEN THIEN HUNG et al, M...Report on LUS for post COVID19 Infection Patients, NGUYEN THIEN HUNG et al, M...
Report on LUS for post COVID19 Infection Patients, NGUYEN THIEN HUNG et al, M...
 
Lung Ultrasound Post-COVID-19 Infection, Hung Nguyen Thien and Ultrasound Dep...
Lung Ultrasound Post-COVID-19 Infection, Hung Nguyen Thien and Ultrasound Dep...Lung Ultrasound Post-COVID-19 Infection, Hung Nguyen Thien and Ultrasound Dep...
Lung Ultrasound Post-COVID-19 Infection, Hung Nguyen Thien and Ultrasound Dep...
 
LUNG ULTRASOUND for COVID-19
LUNG ULTRASOUND  for COVID-19LUNG ULTRASOUND  for COVID-19
LUNG ULTRASOUND for COVID-19
 
COVID-19
COVID-19COVID-19
COVID-19
 
H. pylori update 2019[863] Dr VÕ THỊ CHI MAI
H. pylori update 2019[863] Dr VÕ THỊ CHI MAIH. pylori update 2019[863] Dr VÕ THỊ CHI MAI
H. pylori update 2019[863] Dr VÕ THỊ CHI MAI
 
H pylori clin virulence-diag aspects, Dr VO THI CHI MAI
H pylori clin virulence-diag aspects, Dr VO THI CHI MAIH pylori clin virulence-diag aspects, Dr VO THI CHI MAI
H pylori clin virulence-diag aspects, Dr VO THI CHI MAI
 
LAO CỘT SỐNG và SIÊU ÂM, Dr PHẠM THỊ THANH XUÂN
LAO CỘT SỐNG và SIÊU ÂM, Dr PHẠM THỊ THANH XUÂNLAO CỘT SỐNG và SIÊU ÂM, Dr PHẠM THỊ THANH XUÂN
LAO CỘT SỐNG và SIÊU ÂM, Dr PHẠM THỊ THANH XUÂN
 
Evaluation of Hyperferritinemia in Diabetic Patients
Evaluation of Hyperferritinemia in Diabetic PatientsEvaluation of Hyperferritinemia in Diabetic Patients
Evaluation of Hyperferritinemia in Diabetic Patients
 
ABDOMINAL AORTIC ANEURYSM @ MEDIC CENTER
ABDOMINAL AORTIC ANEURYSM @ MEDIC CENTERABDOMINAL AORTIC ANEURYSM @ MEDIC CENTER
ABDOMINAL AORTIC ANEURYSM @ MEDIC CENTER
 
NECK CYSTS, Dr PHAM THI THANH XUAN
NECK CYSTS, Dr PHAM THI THANH XUANNECK CYSTS, Dr PHAM THI THANH XUAN
NECK CYSTS, Dr PHAM THI THANH XUAN
 
SWE-SSI and TS in Chronic Liver Disease, Ngô thị Huyền Trang và cs
SWE-SSI and TS in Chronic Liver Disease, Ngô thị Huyền Trang và csSWE-SSI and TS in Chronic Liver Disease, Ngô thị Huyền Trang và cs
SWE-SSI and TS in Chronic Liver Disease, Ngô thị Huyền Trang và cs
 
BIRADS- 5 NON CANCER, Dr Đỗ Bình Minh Dr Hương Giang
BIRADS- 5 NON CANCER, Dr Đỗ Bình Minh Dr Hương GiangBIRADS- 5 NON CANCER, Dr Đỗ Bình Minh Dr Hương Giang
BIRADS- 5 NON CANCER, Dr Đỗ Bình Minh Dr Hương Giang
 
CAP va ARFI trong Gan Mỡ , Nguyễn Thiện Hùng, Nguyễn thị Hồng Anh , Phạm thị ...
CAP va ARFI trong Gan Mỡ , Nguyễn Thiện Hùng, Nguyễn thị Hồng Anh , Phạm thị ...CAP va ARFI trong Gan Mỡ , Nguyễn Thiện Hùng, Nguyễn thị Hồng Anh , Phạm thị ...
CAP va ARFI trong Gan Mỡ , Nguyễn Thiện Hùng, Nguyễn thị Hồng Anh , Phạm thị ...
 
Diffuse Large B Cell Lymphoma and Appearences in Oral Cavity, Maxillary and M...
Diffuse Large B Cell Lymphoma and Appearences in Oral Cavity, Maxillary and M...Diffuse Large B Cell Lymphoma and Appearences in Oral Cavity, Maxillary and M...
Diffuse Large B Cell Lymphoma and Appearences in Oral Cavity, Maxillary and M...
 
MSI-H/DMMR SOLID CANCERS, Dr BÙI ĐẮC CHÍ
MSI-H/DMMR SOLID CANCERS, Dr BÙI ĐẮC CHÍMSI-H/DMMR SOLID CANCERS, Dr BÙI ĐẮC CHÍ
MSI-H/DMMR SOLID CANCERS, Dr BÙI ĐẮC CHÍ
 
TIRADs ACR 2017, Dr Kieu Trang- Dr Quynh Anh- Dr Binh Minh
TIRADs ACR  2017, Dr Kieu Trang- Dr Quynh Anh- Dr Binh MinhTIRADs ACR  2017, Dr Kieu Trang- Dr Quynh Anh- Dr Binh Minh
TIRADs ACR 2017, Dr Kieu Trang- Dr Quynh Anh- Dr Binh Minh
 
Liver Stiffness Evaluation in DM Type 2, Ng t Hồng Anh- Ng Thiện Hùng.
Liver Stiffness Evaluation  in DM Type 2, Ng t Hồng Anh- Ng Thiện Hùng.Liver Stiffness Evaluation  in DM Type 2, Ng t Hồng Anh- Ng Thiện Hùng.
Liver Stiffness Evaluation in DM Type 2, Ng t Hồng Anh- Ng Thiện Hùng.
 
Case 430: FACIAL EDEMA, Dr PHAN THANH HẢI, Dr LÊ NGỌC VINH
Case 430: FACIAL EDEMA, Dr PHAN THANH HẢI, Dr LÊ NGỌC VINHCase 430: FACIAL EDEMA, Dr PHAN THANH HẢI, Dr LÊ NGỌC VINH
Case 430: FACIAL EDEMA, Dr PHAN THANH HẢI, Dr LÊ NGỌC VINH
 
Case 422; TORSION of TESTIS, Dr PHAN THANH HẢI
Case 422; TORSION of TESTIS, Dr PHAN THANH HẢICase 422; TORSION of TESTIS, Dr PHAN THANH HẢI
Case 422; TORSION of TESTIS, Dr PHAN THANH HẢI
 

CASE 304: HIP PAIN, Dr PHAN THAH HẢI

  • 1. CASE 304: HIP PAIN, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM. Man 43 yo, one week ago, pain at his left hip while moving his thigh, no trauma history. Ultrasound first saw the left hip joint having a small amout of fluid collection and more Power Doppler in muscles around the hip ( see 4 US images).
  • 2. MSCT was done but radiologist said nothing abnormal detected. MRI detected abnormal head of left femur bone looked like aseptic necrotic femoral head.
  • 3. Please compare diagnostic values of 3 diagnostic modalities for this case:ultrasound, MSCT and MRI.