What Does The Following CT Scan Report Indicate?

Posted on Fri, 5 Dec 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 5 Dec 2014 Answered on

Mon, 22 Dec 2014 Last reviewed on

Question : hi doctor,

my hip fractured in may 18, 2012 and operated with 3 cannulated screws.

attached the last 2 ct scan reports.

pls give your feedback.

regards
XXXX

Answered by Dr. Mukesh Chugh (12 minutes later)

Brief Answer:
I could not find the report,please send agian

Detailed Answer:
Hello
Thanks for posting
Please send the report again as it is not there.If feasible may send at my email drmukesh_chugh @rediffmail.com
Looking forward to report
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mukesh Chugh (5 minutes later)

hi doctor
I have attached again. also sending mail separately.

regards
XXXX

Answered by Dr. Mukesh Chugh (3 hours later)

Brief Answer:
known complication following fracture

Detailed Answer:
Hello
It's good to see you
I have gone through the attached CT reports and they are suggestive of degenerative changes in early stage.This is a known complication of fracture neck of femur but the best part is fracture has united well.Following fracture the blood supply is somewhat compromised leading to the changes as mentioned in CT scan.
To help you further,please tell me-Do you have any pain at hip with difficulty in climbing stairs,squatting or sitting cross leg?
Looking forward to your reply.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mukesh Chugh (5 hours later)

hi sir

I do not have any pain while practicing above positions. only in some cases all of a sudden I have light pain not related to any posture, that too rarely.

pls answer - if you see the 2 reports I sent earlier , 6 months back report has avn symptoms and as per the new report all well. how is it ?

regards
XXXX

Answered by Dr. Mukesh Chugh (3 hours later)

Brief Answer:
Report do not matter much,if you are fine.

Detailed Answer:
Hi
I can understand your dilemma with two different reports. if we leave aside the word AVN,both the reports are suggestive of some changes are occurring in the head of femur which are suggestive of early arthritis. This can happen in this type of fracture.
But these reports does not mean anything until and unless you have the major symptoms.I am glad that you do not have any major complain as far as pain and limitation of movement is concerned.
My suggestion would be-
1.Maintain Ideal weight for height,regular exercises, No weight lifting and jogging.You can do cycling/swimming.
2.You may have nutritional supplements like Glucosamine,beside vitamin D,calcium.
Hope this clears your doubt.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mukesh Chugh (30 minutes later)

sir, one last followup question

pls suggest any care I need to take as I am a diabetic type 2 since 3 years and how can I prevent avn or orthritis

regards
XXXX

Answered by Dr. Mukesh Chugh (22 minutes later)

Brief Answer:
Avoid alcohol and smoking

Detailed Answer:
Hello
The preventive methods are-avoid alcohol,smoking, steroid drugs for long time,beside other measures as discussed earlier.Keep the sugar and lipid profile(cholesterol) as normal as possible.
It was pleasure talking to you.For any future query you can reach me directly by logging at my profile http://bit.ly/drmchugh
Wishing you good health and all the success in life.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar