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KMID : 0363819960300040576
Korean Journal of Nuclear Medicine
1996 Volume.30 No. 4 p.576 ~ p.577
Scintigraphic Findings of Femoral Neck Herniation Pit
Kwon, Jin-Sook
Yang, Seoung-Oh/Won, Kyung-Sook/Ryu, Jin-Sook/Lee, Hee Kyung
Abstract
A 28-year-old male patient with the mid back pain and multiple arthralgia had bone scan with SPECT. Bone scan shows bilateral increased uptake on the sacroiliac joint. There was another focal hot uptake in the right femur neck that matched with a small round osteolytic lesion with sclerotic rim on the plain radiograph. The location was more clearly demonstrated on bone SPECT; the lesion was located in the anterosuperior lateral aspect of the right femur neck.
Herniation pit of femoral neck is a benign lesion, radiologic diagnosis is based on its characteristic appearance and location on the plain
radiograph. The lesion is usually ovoid and less than lcm in diameter with a sclerotic rim, and typically located in the anterosuperior lateral quadrant of the proximal femur necks¢¥ z).
Bone scan usually shows no increased uptake
1), but there is a report about scintigraphic finding of a herniation pit of the femoral neck with increased uptake31. Herniation pit of the femoral neck may require attention when it is found on bone scan with increased uptake in patients with unexplained hip pain or known malignancy. If the lesion is matched with plain radiograph, there is no need for further evaluation.
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