Idiopathic Bilateral Femoral Head Avascular Necrosis and Bilateral Humeral Head Avascular Necrosis

Abstract

ABS TRACT Avascular necrosis (AVN), meaning the cellular death of bone, can occur for various reasons. A 34-year-old male patient admitted with pain in the left shoulder was identified with bilateral hip AVN and bilateral shoulder AVN on magnetic resonance imaging. The patient underwent 21 sessions of physical therapy and was started on a rehabilitation program as the prescribed medical treatment. Prior to treatment, the patient reported a pain Visual Analog Scale score of 8, which reduced to 2 after 3 weeks of treatment. We present this case to literature due to the rare coexistence of hip and shoulder AVN and the good response of the patient to conservative treatment.