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Subchondral insufficiency fracture of the femoral head in younger adults

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Abstract

We report two cases of subchondral insufficiency fracture of the femoral head observed in younger adults without any history of overexertion. In both cases, MRI revealed an irregular, discontinuous low-intensity band on the T1-weighted images. Both patients were treated operatively, and histological examination confirmed the diagnosis of subchondral fracture. A diagnosis of subchondral insufficiency fracture needs to be put in as one of the diagnoses in younger patients with a hip pain.

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References

  1. Rafii M, Mitnick H, Klug J, Firooznia H. Insufficiency fracture of the femoral head: MR Imaging in three patients. AJR Am J Roentgenol 1997;168:159–63.

    Article  CAS  Google Scholar 

  2. Yamamoto T, Bullough PG. Subchondral insufficiency fracture of the femoral head: A differential diagnosis in acute onset of coxarthrosis in the elderly. Arthritis Rheum 1999;42:2719–23.

    Article  CAS  Google Scholar 

  3. Vande Berg BC, Malghem J, Goffin EJ, Duprez TP, Maldague BE. Transient Epiphyseal lesions in renal transplant recipients: presumed insufficiency stress fractures. Radiology 1994;191:403–07.

    Article  Google Scholar 

  4. Ikemura S, Yamamoto T, Nakashima Y, Shuto T, Jingushi S, Iwamoto Y. Bilateral subchondral insufficiency fracture of the femoral head after renal transplantation. Arthritis Rheum 2005;52:1293–96.

    Article  Google Scholar 

  5. Visuri T. Stress osteopathy of the femoral head: 10 military recruits followed for 5–11 years. Acta Orthop Scand 1997;68(2):138–41.

    Article  CAS  Google Scholar 

  6. Song WS, Yoo JJ, Koo KH, Yoon KS, Kim YM, Kim HJ. Subchondral fatigue fracture of the femoral head in military recruits. J Bone Joint Surg Am 2004;86:1917–24.

    Article  Google Scholar 

  7. Matsuo K, Hirohata T, Sugioka Y, Ikeda M, Fukuda A. Influence of alcohol intake, cigarette smoking, and occupational status on idiopathic osteonecrosis of the femoral head. Clin Orthop 1988;234:115–23.

    Google Scholar 

  8. Agras WS. Obesity. In: Dale DC, Federman DD (eds) Scientific American Medicine. New York, NY: Scientific American, Inc.;1998:1–9.

    Google Scholar 

  9. Yamamoto T, Schneider R, Bullough PG. Insufficiency subchondral fracture of the femoral head. Am J Surg Pathol 2000;24:464–68.

    Article  CAS  Google Scholar 

  10. Yamamoto T, Schneider R, Bullough PG. Subchondral insufficiency fracture of the femoral head: histopathologic correlation with MRI. Skeletal Radiol. 2001;30:247–54.

    Article  CAS  Google Scholar 

  11. Potter H, Moran M, Schneider R, Bansal M, Sherman C, Markisz J. Magnetic resonance imaging in diagnosis of transient osteoporosis of the hip. Clin Orthop 1992;280:223–39.

    Google Scholar 

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Acknowledgements

This work is supported in part by a Grant-in-Aid in Scientific Research (No. 18591665) from JSPS, and a Grant of Clinical Research Foundation (2004).

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Takuaki Yamamoto, Yasuharu Nakashima, Toshihide Shuto, Seiya Jingushi & Yukihide Iwamoto

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  1. Takuaki Yamamoto
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  2. Yasuharu Nakashima
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  3. Toshihide Shuto
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  4. Seiya Jingushi
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  5. Yukihide Iwamoto
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Correspondence to Takuaki Yamamoto.

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Yamamoto, T., Nakashima, Y., Shuto, T. et al. Subchondral insufficiency fracture of the femoral head in younger adults. Skeletal Radiol 36 (Suppl 1), 38–42 (2007). https://doi.org/10.1007/s00256-006-0178-1

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  • DOI: https://doi.org/10.1007/s00256-006-0178-1

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