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Published in: Skeletal Radiology 1/2007

01-06-2007 | Case Report

Subchondral insufficiency fracture of the femoral head in younger adults

Authors: Takuaki Yamamoto, Yasuharu Nakashima, Toshihide Shuto, Seiya Jingushi, Yukihide Iwamoto

Published in: Skeletal Radiology | Special Issue 1/2007

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Abstract

We report two cases of subchondral insufficiency fracture of the femoral head observed in younger adults without any history of overexertion. In both cases, MRI revealed an irregular, discontinuous low-intensity band on the T1-weighted images. Both patients were treated operatively, and histological examination confirmed the diagnosis of subchondral fracture. A diagnosis of subchondral insufficiency fracture needs to be put in as one of the diagnoses in younger patients with a hip pain.
Literature
1.
go back to reference Rafii M, Mitnick H, Klug J, Firooznia H. Insufficiency fracture of the femoral head: MR Imaging in three patients. AJR Am J Roentgenol 1997;168:159–63.CrossRef Rafii M, Mitnick H, Klug J, Firooznia H. Insufficiency fracture of the femoral head: MR Imaging in three patients. AJR Am J Roentgenol 1997;168:159–63.CrossRef
2.
go back to reference Yamamoto T, Bullough PG. Subchondral insufficiency fracture of the femoral head: A differential diagnosis in acute onset of coxarthrosis in the elderly. Arthritis Rheum 1999;42:2719–23.CrossRef Yamamoto T, Bullough PG. Subchondral insufficiency fracture of the femoral head: A differential diagnosis in acute onset of coxarthrosis in the elderly. Arthritis Rheum 1999;42:2719–23.CrossRef
3.
go back to reference Vande Berg BC, Malghem J, Goffin EJ, Duprez TP, Maldague BE. Transient Epiphyseal lesions in renal transplant recipients: presumed insufficiency stress fractures. Radiology 1994;191:403–07.CrossRef Vande Berg BC, Malghem J, Goffin EJ, Duprez TP, Maldague BE. Transient Epiphyseal lesions in renal transplant recipients: presumed insufficiency stress fractures. Radiology 1994;191:403–07.CrossRef
4.
go back to reference Ikemura S, Yamamoto T, Nakashima Y, Shuto T, Jingushi S, Iwamoto Y. Bilateral subchondral insufficiency fracture of the femoral head after renal transplantation. Arthritis Rheum 2005;52:1293–96.CrossRef Ikemura S, Yamamoto T, Nakashima Y, Shuto T, Jingushi S, Iwamoto Y. Bilateral subchondral insufficiency fracture of the femoral head after renal transplantation. Arthritis Rheum 2005;52:1293–96.CrossRef
5.
go back to reference Visuri T. Stress osteopathy of the femoral head: 10 military recruits followed for 5–11 years. Acta Orthop Scand 1997;68(2):138–41.CrossRef Visuri T. Stress osteopathy of the femoral head: 10 military recruits followed for 5–11 years. Acta Orthop Scand 1997;68(2):138–41.CrossRef
6.
go back to reference Song WS, Yoo JJ, Koo KH, Yoon KS, Kim YM, Kim HJ. Subchondral fatigue fracture of the femoral head in military recruits. J Bone Joint Surg Am 2004;86:1917–24.CrossRef Song WS, Yoo JJ, Koo KH, Yoon KS, Kim YM, Kim HJ. Subchondral fatigue fracture of the femoral head in military recruits. J Bone Joint Surg Am 2004;86:1917–24.CrossRef
7.
go back to reference Matsuo K, Hirohata T, Sugioka Y, Ikeda M, Fukuda A. Influence of alcohol intake, cigarette smoking, and occupational status on idiopathic osteonecrosis of the femoral head. Clin Orthop 1988;234:115–23. Matsuo K, Hirohata T, Sugioka Y, Ikeda M, Fukuda A. Influence of alcohol intake, cigarette smoking, and occupational status on idiopathic osteonecrosis of the femoral head. Clin Orthop 1988;234:115–23.
8.
go back to reference Agras WS. Obesity. In: Dale DC, Federman DD (eds) Scientific American Medicine. New York, NY: Scientific American, Inc.;1998:1–9. Agras WS. Obesity. In: Dale DC, Federman DD (eds) Scientific American Medicine. New York, NY: Scientific American, Inc.;1998:1–9.
9.
go back to reference Yamamoto T, Schneider R, Bullough PG. Insufficiency subchondral fracture of the femoral head. Am J Surg Pathol 2000;24:464–68.CrossRef Yamamoto T, Schneider R, Bullough PG. Insufficiency subchondral fracture of the femoral head. Am J Surg Pathol 2000;24:464–68.CrossRef
10.
go back to reference Yamamoto T, Schneider R, Bullough PG. Subchondral insufficiency fracture of the femoral head: histopathologic correlation with MRI. Skeletal Radiol. 2001;30:247–54.CrossRef Yamamoto T, Schneider R, Bullough PG. Subchondral insufficiency fracture of the femoral head: histopathologic correlation with MRI. Skeletal Radiol. 2001;30:247–54.CrossRef
11.
go back to reference Potter H, Moran M, Schneider R, Bansal M, Sherman C, Markisz J. Magnetic resonance imaging in diagnosis of transient osteoporosis of the hip. Clin Orthop 1992;280:223–39. Potter H, Moran M, Schneider R, Bansal M, Sherman C, Markisz J. Magnetic resonance imaging in diagnosis of transient osteoporosis of the hip. Clin Orthop 1992;280:223–39.
Metadata
Title
Subchondral insufficiency fracture of the femoral head in younger adults
Authors
Takuaki Yamamoto
Yasuharu Nakashima
Toshihide Shuto
Seiya Jingushi
Yukihide Iwamoto
Publication date
01-06-2007
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue Special Issue 1/2007
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-006-0178-1

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