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

Nuclear medicine

 Bone scan shows focal hot spot in the femoral head

Case Discussion

Diffuse bone marrow edema 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 edema.   This is thought to be the origin of so-called "transient bone marrow edema".
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Case information

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

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