Trochanteric fracture - Paget's disease

Case contributed by Dr Bruno Di Muzio

Presentation

Twisting injury left hip. Painful, can't weight bear.

Patient Data

Age: 88-year-old

CT Left hip

Modality: CT

Minimally displaced fracture extending through the base of the femoral greater trochanter. Increased density within the joint capsule may represent haemarthrosis. Narrowing and mild degenerative changes of the hip joint space. Coarse trabeculation and mild extension of the left hemipelvis bones in keeping with Paget's disease. Atheromatous calcifications of the femoral artery.

Pelvis Radiograph (6 months earlier)

Modality: X-ray

Narrowing and mild degenerative changes of the hip joint spaces, with right femoral head remodelling. Coarse trabeculation and mild extension of the pelvic bones in keeping with Paget's disease. 

Case Discussion

Greater trochanter fracture in a patient showing diffuse asymmetric bony abnormalities in the pelvis characterised by mild expansion, cortical thickening, patchy sclerosis, and coarse trabeculation. Those features are suggestive of Paget's disease, for which the patient had already been diagnosed. 

PlayAdd to Share

Case Information

rID: 46777
Case created: 16th Jul 2016
Last edited: 15th Aug 2016
Tag: rmh
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.