Subchondral insufficiency fracture of the femoral head after liver transplantation.
A 53-year-old woman developed a subchondral insufficiency fracture of the right femoral head after undergoing a liver transplantation. Radiographs obtained at her first visit demonstrated a slight subchondral collapse in the superolateral portion of the femoral head. Magnetic resonance imaging (MRI) disclosed an irregular, discontinuous, low-intensity band on the T1-weighted image. After 7 months of conservative treatment, the hip pain and the radiograph abnormalities had both disappeared. On the follow-up T1-weighted MR image obtained 17 months after the onset, the band of low signal intensity was not obvious. A subchondral insufficiency fracture is one of the diagnoses to be considered in patients presenting with hip pain after a liver transplantation.
Department of Orthopaedic Surgery, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Kenyu
K
Iwasaki
Takuaki
T
Yamamoto
Yasuharu
Y
Nakashima
Taro
T
Mawatari
Goro
G
Motomura
Satoshi
S
Ikemura
Yukihide
Y
Iwamoto
D005260:Female; D005265:Femoral Neck Fractures / Q000175:diagnosis* / Q000209:etiology*; D015775:Fractures, Stress / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D014057:Tomography, X-Ray Computed