Amjad Ali, Hafez Ahmed Tarek, Nawab Ditta Adeel, Jan Waqar
Department of Orthopaedics, King Hamad University Hospital, Bahrain.
J Surg Case Rep. 2020 Jul 2;2020(6):rjaa195. doi: 10.1093/jscr/rjaa195. eCollection 2020 Jun.
Herniation pits are small benign oval lesions that were reported to be always lying within the super-lateral femoral neck, and were first described in 1982 by Michael J. Pitt. They are usually a unilateral incidental finding along with asymptomatic course. It was widely believed that herniation pits are a result of invagination of the overlying synovium into small cortical defects in the femoral neck. In our case; the mentioned lesions were found atypically bilaterally at the inferomedial aspect of the neck of femur of a 7-year old child. Radiological scans were efficient to obtain an adequate diagnosis whereas conservative management proved to be sufficient dealing with the lesions. Synovial pits may have atypical clinical and radiological course, and this can raise concerns especially with symptomatic hip that may encourage surgical interventions. However, due to benign course of these lesions, we do not recommend any surgical intervention for such lesions.
疝窝是一种小的良性椭圆形病变，据报道总是位于股骨颈的上外侧，于1982年由迈克尔·J·皮特首次描述。它们通常是单侧偶然发现，病程无症状。人们普遍认为疝窝是覆盖的滑膜陷入股骨颈小皮质缺损的结果。在我们的病例中，上述病变在一名7岁儿童股骨颈的内下侧非典型地双侧发现。放射学扫描有助于做出充分诊断，而保守治疗被证明足以处理这些病变。滑膜窝可能有非典型的临床和放射学病程，这可能会引起担忧，尤其是对于有症状的髋关节，可能会促使进行手术干预。然而，由于这些病变的良性病程，我们不建议对这类病变进行任何手术干预。
