Renal osteodystrophy and insufficiency fractures
Pelvic pain and limping during walking. History of chronic renal failure and haemodialysis.
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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.