Question 1700
{"accessible":false,"alternatives":[{"id":8452,"text":"bone metastasis"},{"id":8453,"text":"chronic avulsion fracture"},{"id":8456,"text":"osteomyelitis"},{"id":8454,"text":"Paget disease"},{"id":8455,"text":"stress fracture"}],"archived":false,"correctAlternativeId":8452,"explanation":"\u003cp\u003eAn isolated lesser trochanter fracture\u0026nbsp;in adults should be considered pathological until proven otherwise.\u003c/p\u003e","id":1700,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/1700","nextQuestionPath":"/articles/pathological-fracture/questions/1144","relatedArticles":[{"id":7662,"title":"Osteomyelitis","link":"/articles/osteomyelitis?lang=us"},{"id":953,"title":"Avulsion injury","link":"/articles/avulsion-injury-1?lang=us"},{"id":7542,"title":"Stress fracture","link":"/articles/stress-fracture-2?lang=us"},{"id":1824,"title":"Paget disease (bone)","link":"/articles/paget-disease-bone?lang=us"},{"id":16626,"title":"Bone metastases","link":"/articles/bone-metastases-1?lang=us"}],"alsoUsedIn":[{"id":1794,"kind":"Course","title":"X-ray Interpretation: Pelvis \u0026 Hip Injuries - page 1794","link":"https://radiopaedia.org/courses/x-ray-interpretation-pelvis-hip-injuries/pages/1794"}],"stem":"\u003cp\u003eA 45-year-old male\u0026nbsp;who\u0026nbsp;was previously active in sports, now\u0026nbsp;complains\u0026nbsp;of worsening of right hip pain and is unable to bear weight. Pelvic radiograph demonstrates a lucent bone\u0026nbsp;lesion with periosteal reaction at the right lesser trochanter. Bone\u0026nbsp;scan\u0026nbsp;performed with technetium 99m-methyl diphosphonate (99mTc MDP) demonstrates intense tracer uptake\u0026nbsp;in\u0026nbsp;the right subtrochanteric region. No suspicious foci elsewhere. Which diagnosis should be considered until proven otherwise?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1700"}],"attemptsPercentages":[{"alternativeId":"8456","percentage":15},{"alternativeId":"8452","percentage":42},{"alternativeId":"8453","percentage":11},{"alternativeId":"8454","percentage":7},{"alternativeId":"8455","percentage":24}],"promptToLogin":false,"questionManager":false,"articleId":"pathological-fracture"}