A 68-year-old woman presented to our hospital with pain in her left hip. She said it had started 2 weeks previously and had gradually worsened. She gave no history of trauma; however, she did have a history of rheumatoid arthritis, which was well controlled with weekly injections of methotrexate. There was no history of corticosteroid use. She also had a history of squamous cell carcinoma of the anus, which had been treated with chemotherapy. The woman had finished a course of adjuvant external beam pelvic radiotherapy 6 months before seeing us.
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