Clinical Medicine: Case Reports
Synopsis: An open access, peer reviewed electronic journal that covers case reports in all areas of clinical medicine.
Indexing: 4 major databases. Pubmed indexing for NIH-funded research.
Processing time: Decision in 2 weeks for 90% of papers.
Visibility: Most popular article read 900+ times.
View factor:
Journal: 72981
Most read article: 2037
Editor in chief:
Karna Dev Bardhan
ISSN: 1178-6450
Insufficiency Fracture in the Para-Acetabulum, with Features Mimicking Those of a Malignant Bone Tumor
Authors: Akio Sakamoto, Takuaki Yamamoto, Kazuhiro Tanaka, Shuichi Matsuda, Tatsuya Yoshida and Yukihide Iwamoto
Publication Date: 06 Jun 2008
Clinical Medicine: Case Reports 2008:1 73-76
Akio Sakamoto, Takuaki Yamamoto, Kazuhiro Tanaka, Shuichi Matsuda, Tatsuya Yoshida and Yukihide Iwamoto
Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Abstract
Para-acetabular insufficiency fractures are rare and exceedingly difficult to diagnose without a high index of suspicion, since the images mimic those of bone tumors. We herein present the case of a 55-year-old woman who suffered from hip pain with subacute onset. She had undergone a hysterectomy-ovariectomy due to endometriosis when she was 41 years old. Her bone mineral density was normal due to supplemental treatment with female hormones. About 3 months after onset, she was referred to our institute with a diagnosis of pelvic bone tumor. Plain radiographs and computed tomography showed irregular osteosclerosis in the para-acetabulum. Bone scintigraphy demonstrated uptake in the para-acetabulum. Magnetic resonance imaging showed abnormal signal with low-signal intensity on T1-weighted images and high-signal intensity on T2-weighted images throughout the entire hemipelvic bone. Since the pain continued for more than 3 months, open biopsy was undertaken and the lesion was found to be non-neoplastic. Six months after onset, the pain disappeared. The clinical course suggested a diagnosis of insufficiency fracture in the para-acetabulum. Para-acetabular insufficiency fractures should always be considered in cases of hip pain, even in patients with prolonged symptoms.
Categories: Case report
Keywords: Insufficiency fracture, Para-acetabulum, Plain radiograph, CT, MRI
Readers of this also read:
- Loud music exposure: etiology for Spontaneous Pneumomediastinum (Provisional PDF)
- Surgical Anatomy of Large Retroperitoneal Teratomas in Infants: Report of Two Cases
- Non-Autoimmune Hemolytic Anemia with Clostridium Ramosum Bacteremia
- Forty Years Abuse of Baking Soda, Rhabdomyolysis, Glomerulonephritis, Hypertension Leading to Renal Failure: A Case Report
- Dissecting Aneurysms of Bilateral Anterior Cerebral Artery Complicated by Subarachnoid Hemorrhage After Cerebral Infarction: A Case Report
Sign up for free journal updates
Recently published in this journal 
Dysfunction of Corticomotoneurons in Guillain-Barré Syndrome (GBS)?
- 01/Oct/2009
Metabolic Complications of Bypass Surgery for Morbid Obesity
- 18/Sep/2009
Asymmetrical Weakness Associated with Central Nervous System Involvement in a Patient with Guillain-Barrè Syndrome
- 03/Sep/2009
Methotrexate-Induced Acute Leukemia: Report of Three Cases and Review of the Literature
- 31/Jul/2009
Sarcomatoid Carcinoma of the Urinary Bladder Treated with Adjuvant Radiotherapy: A Case Report
- 30/Jul/2009
Exophthalmos as a Presenting Manifestation of Limited Wegener’s Granulomatosis in a Patient with Prior Graves’ Disease
- 30/Jun/2009
An Acute Leukaemia Masquerading as Immune Thrombocytopaenic Purpura (ITP)? A Case Report
- 17/Apr/2009
A Case of Tubulointerstitial Nephritis and Uveitis (TINU) Syndrome with High ASLO Titer
- 09/Apr/2009
A Case of Large Solitary Fibrous Tumor in the Retroperitoneum
- 23/Mar/2009
Bacteremia Due to Clostridium Difficile: Case Report and Review of the Literature
- 17/Feb/2009
Acute Autonomic, Sensory and Motor Neuropathy Associated with Meningoencephalitis
- 12/Feb/2009
Endobronchial Epstein-Barr Virus Associated Post-transplant Lymphoproliferative Disorder in Hematopoietic Stem Cell Transplantation
- 03/Feb/2009
Photon-deficient Mass on FDG-PET Scan in Renal Cell Carcinoma: A Case Report
- 23/Dec/2008
A Case Report of Hepatitis E Infection Leading to Acute Liver Failure and Transplantation
- 02/Dec/2008
Diagnosis of Paracardiac Castleman Disease by Dynamic Gadolinium-Enhanced First Pass Perfusion Magnetic Resonance Imaging
- 01/Oct/2008
A Rare Embryologic Variation: Anterior Communicating Artery Aneurysm Associated with Carotid - Anterior Cerebral Artery Anastomosis or Infraoptic Course of the Anterior Cerebral Artery
- 24/Sep/2008
Malignant Myeloma in a Patient After Treatment for Osteoporosis with Teriparatide; a Rare Coincidence
- 29/Aug/2008
Nizatidine Improves Impaired Salivary Secretion in GERD
- 19/Aug/2008
Surgical Anatomy of Large Retroperitoneal Teratomas in Infants: Report of Two Cases
- 31/Jul/2008
Successful Management of Multifactorial Colitis in a Recipient of Hematopoietic Stem Cell Transplant: A Case Report
- 29/Jul/2008
Multiple Complications in a Sickle Cell Disease Patient: A Case Report
- 08/Jul/2008
Dissecting Aneurysms of Bilateral Anterior Cerebral Artery Complicated by Subarachnoid Hemorrhage After Cerebral Infarction: A Case Report
- 02/Jul/2008
Common Variable Immunodeficiency and Peripheral Lung Nodule
- 20/Jun/2008
Forty Years Abuse of Baking Soda, Rhabdomyolysis, Glomerulonephritis, Hypertension Leading to Renal Failure: A Case Report
- 17/Jun/2008
Fulminant Klebssiella Pneumoniae Pneumonia in Immunocompetent Non Alcoholic Patient
- 10/Jun/2008
Insufficiency Fracture in the Para-Acetabulum, with Features Mimicking Those of a Malignant Bone Tumor
- 06/Jun/2008
Hepatocyte Growth Factor Level in Cerebrospinal Fluid as an Additional Marker in Patient with Drug-Resistant Streptococcus Pneumoniae Meningitis Treated With Linezolid
- 27/May/2008
Elongated Styloid Process and Cervical Spondylosis
- 27/May/2008
Successful Management of Invasive Pulmonary Nocardiosis and Aspergillosis in a Patient with T-Cell Lymphoma: A Case Report
- 27/May/2008
A Neurosurgical Golf Injury
- 22/May/2008
Non-Autoimmune Hemolytic Anemia with Clostridium Ramosum Bacteremia
- 22/May/2008
The Management of a Patient with a Cervical Disc Herniation: A Case Report
- 22/May/2008
Monitoring Gastric Filling, Satiety and Gastric Emptying in a Patient with Gastric Balloon Using Functional Magnetic Resonance Imaging - A Feasibility Report
- 22/May/2008
Loud music exposure: etiology for Spontaneous Pneumomediastinum (Provisional PDF)
- 22/May/2008
A Case of Hyper IgD and Periodic Fever Syndrome in Japan
- 16/May/2008
Extremely Low Birthweight Infant with Wolf-Hirschhorn Syndrome: A Dilemma in Determination of the Optimal Timing of Delivery
- 16/May/2008
Cerebral Sinus and Venous Thrombosis Associated with von Willebrand Factor, Independently of Factor VIII
- 14/May/2008
Pseudomonas aeruginosa in the Early Childhood: A Case Report
- 07/May/2008
Pathological Rupture of the Spleen in Uncomplicated Myeloma
- 22/Apr/2008
Transradial Approach Superior to Transfemoral Approach for Guide Catheter Engagement of Right Coronary Artery
- 16/Apr/2008
Rehabilitation following Surgery for Reconstruction of a Foot Defect
- 15/Apr/2008
Introductory Editorial (Clinical Medicine: Case Reports)
- 07/Mar/2008
- 01/Oct/2009
Metabolic Complications of Bypass Surgery for Morbid Obesity
- 18/Sep/2009
Asymmetrical Weakness Associated with Central Nervous System Involvement in a Patient with Guillain-Barrè Syndrome
- 03/Sep/2009
Methotrexate-Induced Acute Leukemia: Report of Three Cases and Review of the Literature
- 31/Jul/2009
Sarcomatoid Carcinoma of the Urinary Bladder Treated with Adjuvant Radiotherapy: A Case Report
- 30/Jul/2009
Exophthalmos as a Presenting Manifestation of Limited Wegener’s Granulomatosis in a Patient with Prior Graves’ Disease
- 30/Jun/2009
An Acute Leukaemia Masquerading as Immune Thrombocytopaenic Purpura (ITP)? A Case Report
- 17/Apr/2009
A Case of Tubulointerstitial Nephritis and Uveitis (TINU) Syndrome with High ASLO Titer
- 09/Apr/2009
A Case of Large Solitary Fibrous Tumor in the Retroperitoneum
- 23/Mar/2009
Bacteremia Due to Clostridium Difficile: Case Report and Review of the Literature
- 17/Feb/2009
Acute Autonomic, Sensory and Motor Neuropathy Associated with Meningoencephalitis
- 12/Feb/2009
Endobronchial Epstein-Barr Virus Associated Post-transplant Lymphoproliferative Disorder in Hematopoietic Stem Cell Transplantation
- 03/Feb/2009
Photon-deficient Mass on FDG-PET Scan in Renal Cell Carcinoma: A Case Report
- 23/Dec/2008
A Case Report of Hepatitis E Infection Leading to Acute Liver Failure and Transplantation
- 02/Dec/2008
Diagnosis of Paracardiac Castleman Disease by Dynamic Gadolinium-Enhanced First Pass Perfusion Magnetic Resonance Imaging
- 01/Oct/2008
A Rare Embryologic Variation: Anterior Communicating Artery Aneurysm Associated with Carotid - Anterior Cerebral Artery Anastomosis or Infraoptic Course of the Anterior Cerebral Artery
- 24/Sep/2008
Malignant Myeloma in a Patient After Treatment for Osteoporosis with Teriparatide; a Rare Coincidence
- 29/Aug/2008
Nizatidine Improves Impaired Salivary Secretion in GERD
- 19/Aug/2008
Surgical Anatomy of Large Retroperitoneal Teratomas in Infants: Report of Two Cases
- 31/Jul/2008
Successful Management of Multifactorial Colitis in a Recipient of Hematopoietic Stem Cell Transplant: A Case Report
- 29/Jul/2008
Multiple Complications in a Sickle Cell Disease Patient: A Case Report
- 08/Jul/2008
Dissecting Aneurysms of Bilateral Anterior Cerebral Artery Complicated by Subarachnoid Hemorrhage After Cerebral Infarction: A Case Report
- 02/Jul/2008
Common Variable Immunodeficiency and Peripheral Lung Nodule
- 20/Jun/2008
Forty Years Abuse of Baking Soda, Rhabdomyolysis, Glomerulonephritis, Hypertension Leading to Renal Failure: A Case Report
- 17/Jun/2008
Fulminant Klebssiella Pneumoniae Pneumonia in Immunocompetent Non Alcoholic Patient
- 10/Jun/2008
Insufficiency Fracture in the Para-Acetabulum, with Features Mimicking Those of a Malignant Bone Tumor
- 06/Jun/2008
Hepatocyte Growth Factor Level in Cerebrospinal Fluid as an Additional Marker in Patient with Drug-Resistant Streptococcus Pneumoniae Meningitis Treated With Linezolid
- 27/May/2008
Elongated Styloid Process and Cervical Spondylosis
- 27/May/2008
Successful Management of Invasive Pulmonary Nocardiosis and Aspergillosis in a Patient with T-Cell Lymphoma: A Case Report
- 27/May/2008
A Neurosurgical Golf Injury
- 22/May/2008
Non-Autoimmune Hemolytic Anemia with Clostridium Ramosum Bacteremia
- 22/May/2008
The Management of a Patient with a Cervical Disc Herniation: A Case Report
- 22/May/2008
Monitoring Gastric Filling, Satiety and Gastric Emptying in a Patient with Gastric Balloon Using Functional Magnetic Resonance Imaging - A Feasibility Report
- 22/May/2008
Loud music exposure: etiology for Spontaneous Pneumomediastinum (Provisional PDF)
- 22/May/2008
A Case of Hyper IgD and Periodic Fever Syndrome in Japan
- 16/May/2008
Extremely Low Birthweight Infant with Wolf-Hirschhorn Syndrome: A Dilemma in Determination of the Optimal Timing of Delivery
- 16/May/2008
Cerebral Sinus and Venous Thrombosis Associated with von Willebrand Factor, Independently of Factor VIII
- 14/May/2008
Pseudomonas aeruginosa in the Early Childhood: A Case Report
- 07/May/2008
Pathological Rupture of the Spleen in Uncomplicated Myeloma
- 22/Apr/2008
Transradial Approach Superior to Transfemoral Approach for Guide Catheter Engagement of Right Coronary Artery
- 16/Apr/2008
Rehabilitation following Surgery for Reconstruction of a Foot Defect
- 15/Apr/2008
Introductory Editorial (Clinical Medicine: Case Reports)
- 07/Mar/2008
Related journals...
Clinical Medicine: Case Reports
Karna Dev Bardhan , Editor in Chief
Submit a paper
Share this journal
 |
|
 |
YAHOO! BUZZ |
 |
DIGG |
 |
|
 |
MIXX |
 |
PERMALINK |
 |
GOOGLE BOOKMARKS |
 |
DELICIOUS |
 |
|
 |
NEWSVINE |
Recent news
Research profile on Clinical Medicine: Arthritis and Musculoskeletal Disorders editorial board member Dr Axel Finckh - 09/Oct/2009
Interview with International Journal of Pain editorial board member Dr Raymond Tait - 08/Oct/2009
Interview with Evolutionary Bioinformatics editorial board member Dr John Hancock - 06/Oct/2009
Interview with Clinical Medicine: Circulatory, Respiratory and Pulmonary Medicine editorial board member Dr Lee Morrow - 05/Oct/2009
Articles Published in Week 40 (September 28 to October 2) - 05/Oct/2009
Open access articles published in September - 02/Oct/2009
Announcing Biomedical Engineering and Computational Biology - 30/Sep/2009
Announcing the Indian Journal of Clinical Medicine - 30/Sep/2009
Autism Insights launched - 29/Sep/2009
Newsletter summary (week 37, 2009) - 25/Sep/2009
Interview with Clinical Medicine: Cardiology editorial board member Dr Vernon Barnes - 25/Sep/2009
Interview with Cancer Informatics editorial board member Dr Grant Izmirlian - 22/Sep/2009
Call for papers for Analytical Chemistry Insights from Dr Gabor Patonay - 22/Sep/2009
Sponsor the IBM-OCI Integrative Discovery team in Ride to Conquer Cancer - 15/Sep/2009
No article processing fees for selected journals - 25/Sep/2009
Newsletter summary (week 36, 2009) - 15/Sep/2009
Interview with Healthy Aging and Clinical Care in the Elderly editorial board member Dr Davide Malatesta - 15/Sep/2009
Interview with Translational Oncogenomics author Dr David Frank - 10/Sep/2009
Interview with Retrovirology: Research and Treatment author Dr Elcio Leal - 10/Sep/2009
Interview with Microbiology Insights author Dr Tinatin Doolotkedlieva - 10/Sep/2009
Interview with International Journal of Pain editorial board member Dr Raymond Tait - 08/Oct/2009
Interview with Evolutionary Bioinformatics editorial board member Dr John Hancock - 06/Oct/2009
Interview with Clinical Medicine: Circulatory, Respiratory and Pulmonary Medicine editorial board member Dr Lee Morrow - 05/Oct/2009
Articles Published in Week 40 (September 28 to October 2) - 05/Oct/2009
Open access articles published in September - 02/Oct/2009
Announcing Biomedical Engineering and Computational Biology - 30/Sep/2009
Announcing the Indian Journal of Clinical Medicine - 30/Sep/2009
Autism Insights launched - 29/Sep/2009
Newsletter summary (week 37, 2009) - 25/Sep/2009
Interview with Clinical Medicine: Cardiology editorial board member Dr Vernon Barnes - 25/Sep/2009
Interview with Cancer Informatics editorial board member Dr Grant Izmirlian - 22/Sep/2009
Call for papers for Analytical Chemistry Insights from Dr Gabor Patonay - 22/Sep/2009
Sponsor the IBM-OCI Integrative Discovery team in Ride to Conquer Cancer - 15/Sep/2009
No article processing fees for selected journals - 25/Sep/2009
Newsletter summary (week 36, 2009) - 15/Sep/2009
Interview with Healthy Aging and Clinical Care in the Elderly editorial board member Dr Davide Malatesta - 15/Sep/2009
Interview with Translational Oncogenomics author Dr David Frank - 10/Sep/2009
Interview with Retrovirology: Research and Treatment author Dr Elcio Leal - 10/Sep/2009
Interview with Microbiology Insights author Dr Tinatin Doolotkedlieva - 10/Sep/2009
Similar papers
VEGF 936C > T Polymorphism and Association of BI-RADS Score in Women with Suspected Breast Cancer - 06/Oct/2009
The Role of Adjuvant Therapy in Gastrointestinal Stromal Tumor after Operative Treatment - 02/Oct/2009
In vitro Efficacy of Ureteral Catheters Impregnated with Ciprofloxacin, N-acetylcysteine and their Combinations on Microbial Adherence - 01/Oct/2009
The Effects of Fetal Surgery on Retinopathy of Prematurity Development - 01/Oct/2009
Left Ventricular Rupture Post Mitral Valve Replacement - 23/Sep/2009
Impact of One-Year Methadone Maintenance Treatment in Heroin Users in Jiangsu Province, China - 23/Sep/2009
Hemangioma of the Thyroid - 18/Sep/2009
Stress Cardiomyopathy (Takotsubo Cardiomyopathy) - 17/Sep/2009
The Influence of Traditional Herbal Medicine (Kampo) on Anti-cyclic Citrullinated Peptide Antibody Levels - 17/Sep/2009
The Metastasectomy and Timing of Pulmonary Metastases on the Outcome of Osteosarcoma Patients - 14/Sep/2009
Antiplatelet Resistance - Does it Exist and How to Measure it? - 03/Sep/2009
Fulminant Hepatic Failure Caused by Diffuse Liver Metastases Following Gastrointestinal Stromal Tumor Resection - 02/Sep/2009
Modulation of the BRCA1 Protein and Induction of Apoptosis in Triple Negative Breast Cancer Cell Lines by the Polyphenolic Compound Curcumin - 02/Sep/2009
Who is Ready to Change Illicit Drug Use Behavior: An Emergency Department Study - 31/Aug/2009
Insulin Resistance and Hyperinsulinemia in Patients with Chronic Liver Disease and Hepatocellular Carcinoma - 25/Aug/2009
The Role of Adjuvant Therapy in Gastrointestinal Stromal Tumor after Operative Treatment - 02/Oct/2009
In vitro Efficacy of Ureteral Catheters Impregnated with Ciprofloxacin, N-acetylcysteine and their Combinations on Microbial Adherence - 01/Oct/2009
The Effects of Fetal Surgery on Retinopathy of Prematurity Development - 01/Oct/2009
Left Ventricular Rupture Post Mitral Valve Replacement - 23/Sep/2009
Impact of One-Year Methadone Maintenance Treatment in Heroin Users in Jiangsu Province, China - 23/Sep/2009
Hemangioma of the Thyroid - 18/Sep/2009
Stress Cardiomyopathy (Takotsubo Cardiomyopathy) - 17/Sep/2009
The Influence of Traditional Herbal Medicine (Kampo) on Anti-cyclic Citrullinated Peptide Antibody Levels - 17/Sep/2009
The Metastasectomy and Timing of Pulmonary Metastases on the Outcome of Osteosarcoma Patients - 14/Sep/2009
Antiplatelet Resistance - Does it Exist and How to Measure it? - 03/Sep/2009
Fulminant Hepatic Failure Caused by Diffuse Liver Metastases Following Gastrointestinal Stromal Tumor Resection - 02/Sep/2009
Modulation of the BRCA1 Protein and Induction of Apoptosis in Triple Negative Breast Cancer Cell Lines by the Polyphenolic Compound Curcumin - 02/Sep/2009
Who is Ready to Change Illicit Drug Use Behavior: An Emergency Department Study - 31/Aug/2009
Insulin Resistance and Hyperinsulinemia in Patients with Chronic Liver Disease and Hepatocellular Carcinoma - 25/Aug/2009