Bone infarction

Case contributed by Maximilian Schulze-Hagen
Diagnosis probable

Presentation

Follow-up after distal femoral fracture. Persistent pain in the right knee. Known history of alcoholism and politoxic drug abuse.

Patient Data

Age: 55 years
x-ray

Bilateral medullary lesions in femoral and tibial metaphyses with serpiginous border, sclerosis with internal lucencies. Proximal fibula fracture.

Case Discussion

Differentiation between bone infarction and enchondromas can be challenging. The bilateral and symmetrical distribution of these findings combined with the patient's history of alcoholism make the diagnosis of bone infarctions most likely.

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