Paget disease with undisplaced acetabular fracture

Case contributed by Edward Ganly
Diagnosis certain

Presentation

Left hip pain following fall 6 days ago.

Patient Data

Age: 85 years
Gender: Male

Extensive changes of Paget disease within the pelvis bilaterally with cortical and trabecular thickening.

Bilateral osseous fusion of the sacroiliac joints.

No definite acute fracture is seen.

Diffuse cortical thickening, bony expansion and trabecular thickening involving the pelvis and sacrum consistent with Paget disease.

Undisplaced left acetabular fracture involving the posterior column and the posterior acetabular roof.

No evidence of femur fracture.

No suspicious bony lesion.

IMPRESSION:
Undisplaced left posterior column acetabular fracture.

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