Objective: Avascular necrosis (AVN) is an ischaemic injury of the femoral head. Femoral osteonecrosis (avascular necrosis) is one of the numerous complications of sickle cell disease. The aim of this study was to evaluate osteonecrosis in sickle cell disease (SCD) patients using plain radiographs.

Methods: A cross – sectional study was done among consenting homozygous sickle cell disease patients between the ages of 14-50 years. Plain radiographs’ of bilateral hip bone in –anterior-posterior and lateral views of participants were taken. The radiographs were evaluated and reported. The descriptive data was analysed in percentages.

Results: The participants consisted of 84 subjects out of which 39 (46.4%) were males and 45 (53.6%) females. The mean ages obtained were 22.38±7.42 and 24.92±7.88 years for males’ and females’ respectively. A total of 9 (10.7%) had femoral head deformity, while 75 (89.28%) had normal femoral head. A total of 37 (44%) had hip pain at the time of study, while 49 (56%) had no hip pain.

Conclusion: Femoral osteonecrosis prevalence of 10.7% was obtained amongst sickle cell disease using plain radiograph.


Akinbami AA 2