case_images: PMC10839543_01
case_images: MRI: (A) Coronal plane, findings of avascular osteonecrosis of the left femoral head, and (B) sagittal plane, asymptomatic disc herniations at L4-L5 and L5-S1
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case_images: FIG1
case_images: A CT scan on February 3, 2020, found degenerative changes in the lumbar spine; an MRI of the hip joints and lumbar region on October 25, 2022, revealed asymptomatic disc herniations at L5-S1 and L4-L5, as well as evidence of avascular necrosis of the left hip joint (Figure 1).
case_images: PMC10839543_02
case_images: MRI: (A) Coronal plane, MRI showing avascular osteonecrosis of the left femoral head, and (B) sagittal plane, MRI showing disc herniation at L5-S1
case_images: cureus-0016-00000051730-i02.jpg
case_images: PMC10839543_02_cureus-0016-00000051730-i02.jpg
case_images: FIG2
case_images: An MRI of the lumbar area revealed disc herniation, but since the pain in the groin area was more severe, the neurosurgeon ordered an MRI scan of the hip joint which revealed avascular necrosis of the left hip joint (Figure 2).
case_images: PMC10839543_03
case_images: MRI: (A) Sagittal plane, MRI of the lumbar spine discovered dehydration and degeneration of the disc of L4-L5, narrowing of the disc space of L4-L5, and (B) axial plane, L4-L5 foraminal disc herniation
case_images: cureus-0016-00000051730-i03.jpg
case_images: PMC10839543_03_cureus-0016-00000051730-i03.jpg
case_images: FIG3
case_images: An MRI of the lumbar spine revealed L4-L5 asymptomatic foraminal disc herniation (Figure 3).
case_images: MRI, coronal planes. MRI of the hip joints discovered bilateral avascular necrosis of the hip joints
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case_images: PMC10839543_03_cureus-0016-00000051730-i04.jpg
case_images: FIG4
case_images: The MRI of the hip joints discovered bilateral avascular necrosis of the hip joints (Figure 4).
case_images: Postoperative X-ray of the left hip joint, coronal plane. X-ray showed successful hip replacement and resolution of symptoms
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case_images: FIG5
case_images: The patient was referred to an orthopedist for surgical treatment of the symptomatic avascular necrosis in the left leg (Figure 5).