Anatomy clinical correlates Quiz: Ace Your Exams

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A 75-year-old woman is brought to the emergency department because of inability to bear weight on her right leg. The patient fell onto her right hip after a trip over the curb a few hours ago. Past medical history is significant for osteoporosis and type II diabetes mellitus. Current medications include metformin and atorvastatin. Family history is noncontributory. Vitals are within normal limits. Physical examination demonstrates shortening of the right leg with associated external rotation. There is swelling and bruising around the right lateral hip and limited range of motion at the right hip joint. The patient has a 2+ dorsalis pedis pulse in the right lower extremity. A right hip joint X-ray is shown below. Which of the following is the most likely diagnosis?

A hip x-ray shows a right hip joint with signs of arthritis. The femoral head appears flattened, and joint space narrowing is visible.
Reproduced from Radiopedia

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