A 45 year old was given steroids after renal transplant. After 2 years he had difficulty in walking and pain in both hips. Which one of the following is most likely cause?
Difficulty in walking and pain in both hips after 2 years of steroid intake is suggestive of avascular necrosis. Ref: Apley's System of Ohopedics and Fractures, 8th Edition, Pages 92-93; MR Imaging of the Body By Ernst J. Rummeny, Peter Reimer, Walter Heindel, 2009, Page 460
Primary Osteoahritis
Avascular necrosis
Tuberculosis
Aluminum toxicity