EJMCR. 2017; 1(September 2017): 144-147

Ischio-pubic Osteochondritis (Van Neck-Odelberg disease): a case report

Authors: Muhammad Iqbal, Muhammad Naeem, Muhammad Babar Imran, Muhammad Shahzad Afzal, Muhammad Saeed Akhtar.

ABSTRACT

Background: Ischio-pubic Osteochondritis / Van Neck-Odelberg disease, is characterized by an atypical ossification pattern of the ischio-pubic synchondrosis. Radiologically it may mimic stress fracture, neoplasm, osteomyelitis, or posttraumatic osteolysis. 99mTc-MDP bone scintigraphy with SPECT/CT is one of the effective tools for its diagnosis. Case presentation: A male patient, 11 years of age visited nuclear medicine department of our hospital complaining of pain in the right hip with no history of any fever, trauma or fall. There were no clinical signs of inflammation or any swelling. X-ray showed lytic lesion in the ischio-pubic ramus with area of lucencies. A 99mTc-methylene diphosphonate (99mTc-MDP) bone scan showed focal area of increased uptake in the right inferior ischio-pubic ramus. SPECT/CT hybrid imaging showed areas of demineralization at the edges of ischio-pubic synchondrosis with areas of sclerosis, making a diagnosis of Ischio-pubic osteochondritis / van Neck-Odelberg disease / Synchondrosis ischio-pubic syndrome (SIS). Patient was later treated with anti-inflammatory drugs and steroids. Conclusion: Ischio-pubic Osteochondritis is one of the common differential diagnosis in children presenting with pain in the groin, hip or gluteal region and limping gait. Ample awareness of this ailment is necessary for early diagnosis and proper management, to alleviate the suffering of child.

Keywords:
99mTc-MDP bone scintigraphy, SPECT/CT, Ischio-pubic Osteochondritis, Van Neck-Odelberg disease, Case report.


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Ischio-pubic Osteochondritis (Van Neck-Odelberg disease): a case report


Authors
Muhammad Iqbal
PINUM cancer Hospital, Jail road, Faisalabad, Pakistan
PubMed articlesGoogle scholar articles

Muhammad Naeem
PINUM Cancer Hospital, Jail Road, Faisalabad, Pakistan
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Muhammad Babar Imran
PINUM Cancer hospital, Jail Road, Faisalabad, Pakistan
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Muhammad Shahzad Afzal
PINUM Cancer Hospital, Jail Road, Faisalabad, Pakistan
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Muhammad Saeed Akhtar
PINUM Cancer Hospital, Jail Road, Faisalabad, Pakistan.
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Correspondence to:
Muhammad Iqbal. Muhammad Iqbal, PINUM cancer Hospital, Jail road, Faisalabad, Pakistan; iqbalpinum@gmail.com

Publication history
Received 28 Mar 2017
Revised 22 Jul 2017
Accepted 25 Aug 2017
Published in print 22 Sep 2017

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Pubmed Style

Iqbal M, Naeem M, Imran MB, Afzal MS, Akhtar MS. Ischio-pubic Osteochondritis (Van Neck-Odelberg disease): a case report. EJMCR. 2017; 1(September 2017): 144-147. doi:10.24911/ejmcr/1/34


Web Style

Iqbal M, Naeem M, Imran MB, Afzal MS, Akhtar MS. Ischio-pubic Osteochondritis (Van Neck-Odelberg disease): a case report. http://www.ejmcr.com/?mno=262560 [Access: May 25, 2018]. doi:10.24911/ejmcr/1/34


AMA (American Medical Association) Style

Iqbal M, Naeem M, Imran MB, Afzal MS, Akhtar MS. Ischio-pubic Osteochondritis (Van Neck-Odelberg disease): a case report. EJMCR. 2017; 1(September 2017): 144-147. doi:10.24911/ejmcr/1/34


Vancouver/ICMJE Style

Iqbal M, Naeem M, Imran MB, Afzal MS, Akhtar MS. Ischio-pubic Osteochondritis (Van Neck-Odelberg disease): a case report. EJMCR. (2017), [cited May 25, 2018]; 1(September 2017): 144-147. doi:10.24911/ejmcr/1/34


Harvard Style

Iqbal, M., Naeem, M., Imran, M. B., Afzal, M. S. & Akhtar, M. S. (2017) Ischio-pubic Osteochondritis (Van Neck-Odelberg disease): a case report. EJMCR, 1 (September 2017), 144-147. doi:10.24911/ejmcr/1/34


Turabian Style

Iqbal, Muhammad, Muhammad Naeem, Muhammad Babar Imran, Muhammad Shahzad Afzal, and Muhammad Saeed Akhtar. 2017. Ischio-pubic Osteochondritis (Van Neck-Odelberg disease): a case report. European Journal of Medical Case Reports, 1 (September 2017), 144-147. doi:10.24911/ejmcr/1/34


Chicago Style

Iqbal, Muhammad, Muhammad Naeem, Muhammad Babar Imran, Muhammad Shahzad Afzal, and Muhammad Saeed Akhtar. "Ischio-pubic Osteochondritis (Van Neck-Odelberg disease): a case report." European Journal of Medical Case Reports 1 (2017), 144-147. doi:10.24911/ejmcr/1/34


MLA (The Modern Language Association) Style

Iqbal, Muhammad, Muhammad Naeem, Muhammad Babar Imran, Muhammad Shahzad Afzal, and Muhammad Saeed Akhtar. "Ischio-pubic Osteochondritis (Van Neck-Odelberg disease): a case report." European Journal of Medical Case Reports 1.September 2017 (2017), 144-147. Print. doi:10.24911/ejmcr/1/34


APA (American Psychological Association) Style

Iqbal, M., Naeem, M., Imran, M. B., Afzal, M. S. & Akhtar, M. S. (2017) Ischio-pubic Osteochondritis (Van Neck-Odelberg disease): a case report. European Journal of Medical Case Reports, 1 (September 2017), 144-147. doi:10.24911/ejmcr/1/34


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