Osteopoikilosis

Case contributed by Dr Aakash Patel

Presentation

Patient under evaluation for bilateral hip pain

Patient Data

Age: 55 years
Gender: Male
X-ray

Multiple small sclerotic bone islands of varying sizes are noted in the hip bones and the head, neck and proximal metaphysis of both femurs.

MRI

Multiple small sclerotic bone islands of varying sizes are noted in the hip bones and the head, neck and proximal metaphysis of both femurs which appear hypointense on T1 images.

Case Discussion

Osteopoikilosis is a sclerosing bone dysplasia characterized by multiple bone islands. Bone islands develop during childhood and are asymptomatic. 

Bone islands are mainly distributed around the joints mostly parallel to bony trabeculae. The appendicular skeleton and pelvis are mostly affected with sparing of the axial skeleton. 

On bone scintigraphy, no uptake is found.

Osteopoikilosis is one of the skeletal "do not touch" lesions. 

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Case information

rID: 57265
Published: 15th Dec 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Shalby Hospital, Ahmedabad

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