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Ischiopubic synchondrosis syndrome (Van Neck-Odelberg disease)

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Pain in right groin without any history of trauma or positive clinical findings of infection.

Patient Data

Age: 12 years
Gender: Male

Anteroposterior pelvic radiograph shows enlargement of the right ischiopubic synchondrosis with radiolucency.

T2 magnetic resonance image demonstrating right ischiopubic syncondrosis enlargement with irregular edges and bone marrow edema; edema of the external obturator muscles and large adductor is associated.

Case Discussion

Van Neck-Odelberg disease is a syndrome characterized by an atypical ossification pattern of the ischiopubic synchondrosis. Its radiological features may mimic stress fracture, neoplasm, osteomyelitis, or posttraumatic osteolysis.

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