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What Does My X Ray Reports Suggest?
Question: 62 year old female dexa bone scan, T -Score both Hips = -2.0
Impression = left & right OSTEOPENIA
XRAYS = Minor Sclerotic and eburnation at the iliac crest. Sacrotiac joints are in tack. Hips show degenerative osteoarthritis changes w/ subarticular cyst in head of right femur which suggests early avascular necrosis, pubis shows minor sclerotic changes.
Impression = mild degenerative osteoarthritic changes in left hip.
= moderate degenerate osteoarthritic changes in right.
I am insulin dependant, I have great pain walking, sitting,,laying down, is it time for a total hip replacement with early signs of AVN and cyst .?
Impression = left & right OSTEOPENIA
XRAYS = Minor Sclerotic and eburnation at the iliac crest. Sacrotiac joints are in tack. Hips show degenerative osteoarthritis changes w/ subarticular cyst in head of right femur which suggests early avascular necrosis, pubis shows minor sclerotic changes.
Impression = mild degenerative osteoarthritic changes in left hip.
= moderate degenerate osteoarthritic changes in right.
I am insulin dependant, I have great pain walking, sitting,,laying down, is it time for a total hip replacement with early signs of AVN and cyst .?
Brief Answer:
If pain is not severe than may wait for 6 month
Detailed Answer:
Hello
Thanks for posting
I have gone through your query and understand your concern. As such osteopenia is not an absolute contraindication for total hip replacement. Having said that it is better to wait for 4-6 months, for any osteopenia/osteoporosis treatment to have its positive effect .This may be confirmed by repeat dexa scan at 4-6 months.
Hence, it is my sincere advice to wait at least for 4-6 months if your pain is not that severe enough.
Hope this suffices.
Take care
If pain is not severe than may wait for 6 month
Detailed Answer:
Hello
Thanks for posting
I have gone through your query and understand your concern. As such osteopenia is not an absolute contraindication for total hip replacement. Having said that it is better to wait for 4-6 months, for any osteopenia/osteoporosis treatment to have its positive effect .This may be confirmed by repeat dexa scan at 4-6 months.
Hence, it is my sincere advice to wait at least for 4-6 months if your pain is not that severe enough.
Hope this suffices.
Take care
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Major concern is the early signs of DVN w/ cyst is this not revelant?
Brief Answer:
These are the sign of degeneration/arthritis
Detailed Answer:
Hello
It’s good to see you
This cyst and AVN are the sign of arthritis and cause of pain. It is for this very reason hip replacement is indicated.
Hope this helps. I shall be glad to answer any further.
Take care
These are the sign of degeneration/arthritis
Detailed Answer:
Hello
It’s good to see you
This cyst and AVN are the sign of arthritis and cause of pain. It is for this very reason hip replacement is indicated.
Hope this helps. I shall be glad to answer any further.
Take care
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Dr. Mukesh Chugh
Orthopaedic Surgeon, Joint Replacement
Practicing since :1997
Answered : 1619 Questions
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