Osteochondritis dissecans of the femoral head

Case contributed by Dr Roberto Schubert

Presentation

Left hip pain on weight bearing. Personal history uneventful.

Patient Data

Age: 10
Gender: Female

Demarcation of subchondral osseous fragments in the left femoral head. The sharply delineated T2 hyperintense signal lines between and around the fragments indicate an unstable lesion. There is also some effusion in the left hip joint.

Case Discussion

OD of the femoral head is rare, even in children and adolescents. In a larger series of 17 cases, the main underlying causes were deformities following Legg-Calvé-Perthes disease, posttraumatic, and idiopathic 1. The latter also applies to this case.

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Case information

rID: 18225
Case created: 20th Jun 2012
Last edited: 4th Nov 2015
Inclusion in quiz mode: Included

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