Asymmetric ischiopubic synchondrosis

Case contributed by Lucas Roberto Iglesias
Diagnosis almost certain

Presentation

Chronic left hip pain.

Patient Data

Age: 17 years
Gender: Male

Expansile lesion of the ischial bilateral rami that enlarges the bone to left predominance

Magnetic resonance image demonstrating bilateral ischiopubic syncondrosis enlargement, to left predominance, with irregular edges and bone marrow edema. There is also edema of the external left obturator muscle.

Case Discussion

Asymmetric ischiopubic synchondrosis (Van Neck-Odelberg disease), refers to a syndrome that may cause pain in young patients, due to a non-typical ossification of the ischiopubic synchondrosis. 

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