Bilateral subchondral insufficiency fracture of the femoral head after renal transplantation: a case report.
This report describes the case of a 47-year-old woman who was found to have subchondral insufficiency fractures in both femoral heads after renal transplantation. Initially, plain radiographs showed no obvious changes, but magnetic resonance imaging (MRI) revealed an irregular, discontinuous, low-intensity band on the T1-weighted image of both hips. The patient was treated nonsurgically. Ten months after onset, the pain in both hips disappeared, and plain radiographs and MRI showed no abnormalities. Subchondral insufficiency fracture should be considered in the diagnosis of patients who have hip pain after renal transplantation.
Ikemura
Satoshi
S
Kyushu University, Fukuoka, Japan.
Yamamoto
Takuaki
T
Nakashima
Yasuharu
Y
Shuto
Toshihide
T
Jingushi
Seiya
S
Iwamoto
Yukihide
Y
D003937:Diagnosis, Differential; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology*; D005598:Fractures, Spontaneous / Q000175:diagnosis*; D006615:Hip / Q000473:pathology*; D006620:Hip Fractures / Q000175:diagnosis*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010020:Osteonecrosis / Q000175:diagnosis; D010146:Pain / Q000209:etiology / Q000503:physiopathology; D011183:Postoperative Complications; D011859:Radiography