Femoral head grossing
This article covers femoral head grossing. Femoral heads are relatively common specimens.
Femoral heads, in general, are covered in the article femoral head.
- Osteoarthritis - usually in older individuals, may occur in younger individuals in the setting of previous trauma.
- Fracture - usually secondary to osteoporosis - in older individuals.
Less common diagnoses:
- Pathologic fracture, i.e. fracture due to malignant neoplasm.
- Avascular necrosis - usually in younger individuals, classically associated with steroid use.
Specimen: femoral head.
- Laterality: [left/right].
- Head (along axis of neck x depth x width): ___ x ___ x ___ cm.
- Neck (length x depth x width): ___ x ___ x ___ cm.
- Cartilage thickness: ___ to ___ cm.
- Shape of head: [round/irregular].
- Neck resection margin: [cut/irregular].
- Articular surface: [smooth/irregular/separated from underlying bone/eburnated].
- Other findings: [none/osteophytes/synovial hyperplasia].
- Cut surface findings: [none/subchondral cysts/subchondral sclerosis/osteophytes].
- Other tissue: [none/joint capsule and surround tissue - measuring ___ x ___ x ___ cm].
Representative section(s) submitted from:
- Articular surface and underlying bone.
- Scrappings from the resection margin (if no fracture).
- Scrappings from the fracture site.
- Surrounding tissue.
- URL: http://www.path.utah.edu/casepath/ms%20cases/ms%20case%205%20comp/case%205.htm. Accessed on: 11 October 2012.