Subchondral fracture of the femoral head in children: Differential diagnosis of pediatric hip pain

Author:

Yamaguchi Ryosuke1ORCID,Nakamura Tomoyuki2ORCID,Yamamoto Takuaki3,Takamura Kazuyuki2,Yanagida Haruhisa2,Yamaguchi Toru2,Nakashima Yasuharu1

Affiliation:

1. Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

2. Department of Orthopaedic and Spine Surgery, Fukuoka Children’s Hospital, Fukuoka, Japan

3. Department of Orthopaedic Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan

Abstract

This report describes clinical and radiographic characteristics of two pediatric patients with a presumptive diagnosis of subchondral fracture of the femoral head made based on their clinical course and imaging findings. An 8-year-old boy and an 8-year-old girl had subchondral fracture in the femoral head without osteonecrosis, which was verified by contrast-enhanced magnetic resonance imaging. Although complete disappearance of the fracture line was confirmed in the boy, the girl had a residual femoral head deformity after conservative treatment. Subchondral fracture of the femoral head should be included in the differential diagnosis of pediatric hip pain.

Funder

Japan Society for the Promotion of Science

Publisher

SAGE Publications

Subject

Surgery

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