Adductor insertion avulsion syndrome, "thigh splints": relevance of radiological follow-up.
We present a case of chronic osteomyelitis in a 13-year-old girl which was originally diagnosed as adductor insertion avulsion syndrome ("thigh splints") on the basis of the clinical presentation, patient history, initial radiographs and MRI examination. However, at follow-up with persistent pain and altered radiographic and MRI appearances, surgical biopsy was indicated. Histopathological findings confirmed a bone abscess. This case underlines the necessity of clinical follow-up and imaging in certain patients with apparent thigh splints.
Tshering-Vogel
D
D
Department of Diagnostic, Interventional and Paediatric Radiology, University of Bern, Inselspital, 3010, Bern, Switzerland.
Waldherr
C
C
Schindera
S T
ST
Steinbach
L S
LS
Stauffer
E
E
Anderson
S E
SE
D000293:Adolescent; D001706:Biopsy / Q000379:methods; D002908:Chronic Disease; D003872:Dermatitis / Q000150:complications; D003937:Diagnosis, Differential; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000473:pathology*; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D010019:Osteomyelitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D010146:Pain / Q000209:etiology; D011859:Radiography; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy; D013577:Syndrome; D013848:Thigh / Q000000981:diagnostic imaging / Q000473:pathology