Gross Pathology of Femoral Head

David Lucas

Normal femoral head spherical, white and shiny.Compressible articular cartilage

Degenerative Joint Disease

Shape distortion

Eroded surface with shaggy remnants of degenerated cartilage

Eburnation

Osteophytes

Degenerative Joint Disease (cut surface) Erosion of cartilage (eburnation)

Subchondral sclerosis

Subchondral cyst

Osteophyte

Remaining cartilage

Degenerative Joint Disease (top view)Complete erosion of articular cartilage

Eburnation

Pitting

Avascular Necrosis

Detachment and elevation of articular cartilage

Subchondral osteonecrosis (yellow and friable)