Femoral head

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The femoral head is a common ditzel in surgical pathology at centres which have orthopaedic surgeons.

Many of these can be "gross only".

Criteria for gross only

Diagnoses to consider

  • Avascular necrosis of the femoral head.
  • Osteoarthritis.
  • Pathologic fracture.

Specific diagnoses

Avascular necrosis

General

  • May be due to steroids.

Gross

Features:

  • Cartilage separates from the bone.

Microscopic

Features:[1]

  • Empty lacunae.

Osteoarthritis

See Osteoarthritis.

Infection

See Osteomyelitis.

See also

References

  1. Steffen, RT.; Athanasou, NA.; Gill, HS.; Murray, DW. (Jun 2010). "Avascular necrosis associated with fracture of the femoral neck after hip resurfacing: histological assessment of femoral bone from retrieval specimens.". J Bone Joint Surg Br 92 (6): 787-93. doi:10.1302/0301-620X.92B6.23377. PMID 20513874.