Subchondral insufficiency fracture of the femoral head in younger adults

Skeletal Radiol. 2007 Jun:36 Suppl 1:S38-42. doi: 10.1007/s00256-006-0178-1. Epub 2006 Aug 30.

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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Biopsy
  • Contrast Media
  • Diagnosis, Differential
  • Female
  • Femur Head / injuries*
  • Femur Head / pathology
  • Femur Head / surgery
  • Gadolinium DTPA
  • Hip Fractures / diagnosis*
  • Hip Fractures / pathology
  • Hip Fractures / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Tomography, X-Ray Computed

Substances

  • Contrast Media
  • Gadolinium DTPA