Likelihood of AVN?
Hello all.
26M. I’ve been experiencing hip pain for some time, which I thought was only a hip impingement. However, I got X-rays done and this was the report-
“ Faint increased density right and left femoral head superiorly, findings which may correspond with avascular
necrosis. Otherwise no fracture lucency or periosteal elevation identified. Cam-type morphology, and correlation with FAI
symptomatology. No evidence of hip arthritis. Sacroiliac joints and pubic symphysis appear unremarkable”
Has anyone had a similar X-ray report to this? If so, what ended up being your results?
I started having hip tightness about 4 years ago. But the past year, my hips have gotten a lot worse. I’ve noticed very limited ROM internally and externally as well as the sharp pinch in the front/side of my hip crease explained by FAI. I do have a history of knee surgeries, one being an OCD lesion repair. The pain sometimes radiates down to my knees.
I worry that my symptoms also resemble AVN. I have trouble standing after sitting too long, hips and groin area feel weak, and I do have an ache in my hip crease that is mostly constant. I do feel better if I keep slight movement. If I sit still the pain worsens and stiffens. I have a slight limp after standing as well. But maybe I’m over analyzing every symptom I have now that I know it’s a possibility.
I spoke to my PA and he didn’t seem too concerned about the CAM or the possible AVN, but he’s never dealt with either of the issues. I know that an X-ray doesn’t read an AVN well but the fact that there is even a possibility of it makes me worried. I’m scheduled for an MRI in a couple weeks but I can’t stop thinking about the possibility. Any help on the Likelihood of AVN would be very appreciated.
Sorry for the long, poorly written post. Thanks