Synovial Pit of the femoral neck: a rare disease with rare presentations
| Autor: | Adeel Nawab Ditta, Ahmed Tarek Hafez, Waqar Jan, Ali Amjad |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
AcademicSubjects/MED00910 Case Report cortical defect Asymptomatic 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Synovial herniation pits medicine Femur jscrep/0150 Femoral neck 030203 arthritis & rheumatology business.industry Invagination herniation pits medicine.anatomical_structure Radiological weapon Surgery Radiology Synovial membrane medicine.symptom business Surgical interventions Rare disease |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| DOI: | 10.1093/jscr/rjaa195 |
| Popis: | Herniation pits are small benign oval lesions that were reported to be always lying within the super-lateral femoral neck, and were first described in 1982 by Michael J. Pitt. They are usually a unilateral incidental finding along with asymptomatic course. It was widely believed that herniation pits are a result of invagination of the overlying synovium into small cortical defects in the femoral neck. In our case; the mentioned lesions were found atypically bilaterally at the inferomedial aspect of the neck of femur of a 7-year old child. Radiological scans were efficient to obtain an adequate diagnosis whereas conservative management proved to be sufficient dealing with the lesions. Synovial pits may have atypical clinical and radiological course, and this can raise concerns especially with symptomatic hip that may encourage surgical interventions. However, due to benign course of these lesions, we do not recommend any surgical intervention for such lesions. |
| Databáze: | OpenAIRE |
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