Insufficiency Fracture in the Para-Acetabulum, with Features Mimicking those of a Malignant Bone Tumor
Para-acetabular insufficiency fractures are rare and exceedingly difficult to diagnose without a high index of suspicion, since the images mimic those of bone tumors. We herein present the case of a 55-year-old woman who suffered from hip pain with subacute onset. She had undergone a hysterectomy-ov...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2008-01-01
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| Series: | Clinical Medicine Insights: Case Reports |
| Online Access: | https://doi.org/10.4137/CCRep.S803 |
| _version_ | 1818477265089986560 |
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| author | Akio Sakamoto Takuaki Yamamoto Kazuhiro Tanaka Shuichi Matsuda Tatsuya Yoshida Yukihide Iwamoto |
| author_facet | Akio Sakamoto Takuaki Yamamoto Kazuhiro Tanaka Shuichi Matsuda Tatsuya Yoshida Yukihide Iwamoto |
| author_sort | Akio Sakamoto |
| collection | DOAJ |
| description | Para-acetabular insufficiency fractures are rare and exceedingly difficult to diagnose without a high index of suspicion, since the images mimic those of bone tumors. We herein present the case of a 55-year-old woman who suffered from hip pain with subacute onset. She had undergone a hysterectomy-ovariectomy due to endometriosis when she was 41 years old. Her bone mineral density was normal due to supplemental treatment with female hormones. About 3 months after onset, she was referred to our institute with a diagnosis of pelvic bone tumor. Plain radiographs and computed tomography showed irregular osteosclerosis in the para-acetabulum. Bone scintigraphy demonstrated uptake in the para-acetabulum. Magnetic resonance imaging showed abnormal signal with low-signal intensity on T1-weighted images and high-signal intensity on T2-weighted images throughout the entire hemipelvic bone. Since the pain continued for more than 3 months, open biopsy was undertaken and the lesion was found to be non-neoplastic. Six months after onset, the pain disappeared. The clinical course suggested a diagnosis of insufficiency fracture in the para-acetabulum. Para-acetabular insufficiency fractures should always be considered in cases of hip pain, even in patients with prolonged symptoms. |
| first_indexed | 2024-12-10T09:35:54Z |
| format | Article |
| id | doaj.art-98e76ac2fda3429ba8a5979bc312278c |
| institution | Directory Open Access Journal |
| issn | 1179-5476 |
| language | English |
| last_indexed | 2024-12-10T09:35:54Z |
| publishDate | 2008-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Clinical Medicine Insights: Case Reports |
| spelling | doaj.art-98e76ac2fda3429ba8a5979bc312278c2022-12-22T01:54:12ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762008-01-01110.4137/CCRep.S803Insufficiency Fracture in the Para-Acetabulum, with Features Mimicking those of a Malignant Bone TumorAkio Sakamoto0Takuaki Yamamoto1Kazuhiro Tanaka2Shuichi Matsuda3Tatsuya Yoshida4Yukihide Iwamoto5Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.Para-acetabular insufficiency fractures are rare and exceedingly difficult to diagnose without a high index of suspicion, since the images mimic those of bone tumors. We herein present the case of a 55-year-old woman who suffered from hip pain with subacute onset. She had undergone a hysterectomy-ovariectomy due to endometriosis when she was 41 years old. Her bone mineral density was normal due to supplemental treatment with female hormones. About 3 months after onset, she was referred to our institute with a diagnosis of pelvic bone tumor. Plain radiographs and computed tomography showed irregular osteosclerosis in the para-acetabulum. Bone scintigraphy demonstrated uptake in the para-acetabulum. Magnetic resonance imaging showed abnormal signal with low-signal intensity on T1-weighted images and high-signal intensity on T2-weighted images throughout the entire hemipelvic bone. Since the pain continued for more than 3 months, open biopsy was undertaken and the lesion was found to be non-neoplastic. Six months after onset, the pain disappeared. The clinical course suggested a diagnosis of insufficiency fracture in the para-acetabulum. Para-acetabular insufficiency fractures should always be considered in cases of hip pain, even in patients with prolonged symptoms.https://doi.org/10.4137/CCRep.S803 |
| spellingShingle | Akio Sakamoto Takuaki Yamamoto Kazuhiro Tanaka Shuichi Matsuda Tatsuya Yoshida Yukihide Iwamoto Insufficiency Fracture in the Para-Acetabulum, with Features Mimicking those of a Malignant Bone Tumor Clinical Medicine Insights: Case Reports |
| title | Insufficiency Fracture in the Para-Acetabulum, with Features Mimicking those of a Malignant Bone Tumor |
| title_full | Insufficiency Fracture in the Para-Acetabulum, with Features Mimicking those of a Malignant Bone Tumor |
| title_fullStr | Insufficiency Fracture in the Para-Acetabulum, with Features Mimicking those of a Malignant Bone Tumor |
| title_full_unstemmed | Insufficiency Fracture in the Para-Acetabulum, with Features Mimicking those of a Malignant Bone Tumor |
| title_short | Insufficiency Fracture in the Para-Acetabulum, with Features Mimicking those of a Malignant Bone Tumor |
| title_sort | insufficiency fracture in the para acetabulum with features mimicking those of a malignant bone tumor |
| url | https://doi.org/10.4137/CCRep.S803 |
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