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Osteopoikilosis found incidentally in a 17-year-old adolescent with femoral shaft fracture: A case report.

Abstract Osteopoikilosis is a rare and asymptomatic disease of the bone, which is often discovered occasionally on radiography for irrelevant complaints. Characterized by multiple, small, circular, or oval-shaped radiodense lesions, it may be confused with bony metastatic tumors.
PMID
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Authors

Mayor MeshTerms

Femur

Keywords
Journal Title medicine
Publication Year Start




PMID- 29381938
OWN - NLM
STAT- MEDLINE
DCOM- 20180208
LR  - 20180208
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 47
DP  - 2017 Nov
TI  - Osteopoikilosis found incidentally in a 17-year-old adolescent with femoral shaft
      fracture: A case report.
PG  - e8650
LID - 10.1097/MD.0000000000008650 [doi]
AB  - RATIONALE: Osteopoikilosis is a rare and asymptomatic disease of the bone, which 
      is often discovered occasionally on radiography for irrelevant complaints.
      Characterized by multiple, small, circular, or oval-shaped radiodense lesions, it
      may be confused with bony metastatic tumors. PATIENT CONCERNS: The present study 
      describes a case of a 17-year-old adolescent who suffered from pain and movement 
      limitation of his left thigh following a fall from standing height. DIAGNOSES:
      Plain radiographs showed spiral fracture in left femoral shaft; besides, multiple
      scattered sclerotic lesions of variable size were also observed over the
      bilateral proximal femurs, left distal femur, proximal tibia, and distal tibia
      and fibula through X-rays, computed tomography, and magnetic resonance imaging.
      The patient was finally diagnosed with left femoral shaft fracture and
      osteopoikilosis. INTERVENTIONS: The patient underwent reduction and internal
      fixation with intramedullary nail a week after injury. OUTCOMES: The patient was 
      discharged without any complications 12 days after the surgery. At the 3-month
      follow-up, the patient recovered well and remained symptom-free with no changes
      to his sclerotic lesions. LESSONS: Although this case is not so complicated, we
      have to be cautious when differentiating osteopoikilosis and bony metastases in
      clinical practice in future, which should avoid causing undue distress to both
      the patients and doctors.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Ye, Conglin
AU  - Ye C
AD  - Department of Orthopedics, The First Affiliated Hospital of Nanchang University. 
      Artificial Joints Engineering and Technology Research Center of Jiangxi Province,
      Nanchang, Jiangxi, China.
FAU - Lai, Qi
AU  - Lai Q
FAU - Zhang, Shengtao
AU  - Zhang S
FAU - Gao, Tian
AU  - Gao T
FAU - Zeng, Jin
AU  - Zeng J
FAU - Dai, Min
AU  - Dai M
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adolescent
MH  - Diagnosis, Differential
MH  - Femoral Fractures/*diagnosis/surgery
MH  - *Femur/diagnostic imaging/injuries
MH  - Fibula/*diagnostic imaging
MH  - Fracture Fixation, Intramedullary/methods
MH  - Humans
MH  - Incidental Findings
MH  - Magnetic Resonance Imaging/methods
MH  - Male
MH  - Neoplasms, Bone Tissue/*diagnosis
MH  - Osteopoikilosis/*diagnosis
MH  - Radiography/*methods
MH  - Tibia/*diagnostic imaging
MH  - Tomography, X-Ray Computed/methods
PMC - PMC5708937
EDAT- 2018/02/01 06:00
MHDA- 2018/02/09 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/09 06:00 [medline]
AID - 10.1097/MD.0000000000008650 [doi]
AID - 00005792-201711270-00029 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Nov;96(47):e8650. doi: 10.1097/MD.0000000000008650.