Case: The patient was a 48-year-old man with a history of use of intravenous drugs. He was seen at an external orthopedic consultation with a complaint of pain in his left thigh that had started 5 years earlier, with progressive loss of range of motion and the capacity to walk, and increasing the need for external support in order to walk. He did not have any previous history of trauma. Objective examination: The patient presented pain upon palpation of the left trochanteric region and also during passive internal and external rotation.
It was observed that during active movements, his flexion of the left hip was limited to 30°, internal rotation to 10–15° and external rotation to 15–20°. He presented a Harris Hip Score of 36.65. X-Ray Examination: The pelvis bearing weight (Image 1), from which apparent bone necrosis of the left-side femoral head and neck was observed. A CT scan on the…
