Transient bone marrow oedema: hip

Case contributed by Dr Chris O'Donnell

Presentation

Trivial "injury" at work, now severe right hip pain for months (continued working)

Patient Data

Age: 47
Gender: Male

Diffuse bone marrow oedema throughout femoral head and neck with features of synovitis. Subtle linear defect on T1 coronal MRI = subtle "stress" fracture with marked surrounding reactive oedema.  

Nuclear medicine

 Bone scan shows focal hot spot in the femoral head

Case Discussion

Diffuse bone marrow oedema throughout femoral head and neck with features of synovitis.  Bone scan shows focal hot spot in the femoral head with subtle linear defect on T1 coronal MRI = subtle "stress" fracture with marked surrounding reactive oedema.   This is thought to be the origin of so-called "transient bone marrow oedema".
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Case information

rID: 17772
Case created: 10th May 2012
Last edited: 16th Oct 2015
Inclusion in quiz mode: Included

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