Sickle cell anemia - multifocal osteonecrosis

120 views540y Male10/9/2026

Clinical Presentation

Bilateral shoulder pain and left knee pain.

1Subchondral lucencies within both humeral heads, with subtle flattening on the right
2Subchondral lucencies at the medial femoral condyle
3No joint effusion
4The cruciate and collateral ligaments are normal
5No evidence of a meniscal tear was identified.There is evidence of an infarction of the distal femur consistent with the underlying diagnosis of sickle cell disease
6There is also evidence that osteochondritis dissecans of the medial femoral condyle is likely to be responsible for current symptoms
7No detached intra-articular fragment was identified
8There were no other significant findings.The significant abnormality relates to the appearance of the medial femoral condyle, consistent with osteochondritis dissecans.