Abstract
Patient X, a fifty-two-year-old Caucasian male, presents in clinic with a chief symptom of ongoing intermittent pain, radiating along the ilioinguinal area toward the groin, bilaterally for the past year with the left side more severe than the right side. His current medical issues include alcoholism; a thirty-five-year, three-pack-a-day smoking history; and morbid obesity with a body mass index of 55 kg/m2. He has hyperglycemia, hypercholesterolemia, and hypertension. After all other diagnoses are ruled out, the magnetic resonance imaging (MRI) scan and radiographs show a classic Association Research Circulation Osseous (ARCO) stage-II osteonecrosis on the right hip with no femoral head collapse and ARCO stage-III …
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