Renal osteodystrophy and insufficiency fractures

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Pelvic pain and limping during walking. History of chronic renal failure and haemodialysis.

Patient Data

Age: 45 years
Gender: Male

Skeletal changes of chronic renal failure are manifested e.g. diffuse osteosclerosis, thickened cortex and osteomalacia with prominent femoral neck trabeculae. There are multiple osteolytic areas within the ilia, sacrum and proximal femora. Moreover there are bilateral femoral neck fractures which are characteristic of insufficiency fractures. 

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