Camacho Daniel Andrés Herrera, Bernal Patricia, Cifuentes Luisa, Rivero Oscar
Department of Radiology, Fundación Santa Fe de Bogotá, Colombia.
World J Nucl Med. 2020 Apr 21;19(4):435-437. doi: 10.4103/wjnm.WJNM_67_19. eCollection 2020 Oct-Dec.
Van Neck-Odelberg disease or ischiopubic osteochondritis, is a rare cause of pain in the pediatric pelvis due to late closure in synchondrosis ischiopubic, whose main symptom is an asymmetric pain that can cause a limitation in movement or limp. The different characteristics by images from simple radiography, computed tomography, MRI and bone scintigraphy scan will increase certainty diagnosis and will allow the correct differential diagnosis with fractures, posttraumatic osteolysis, infections or tumors, that leads to unnecessary invasive procedures, this being a benign disease with an evolution and improvement that occurs in weeks or months with conservative treatment. A case of a 15-year-old boy who consulted our hospital with an extra-institutional diagnosis of right ischiopubic fracture. After being evaluated by different imaging methods, a diagnosis of Van Neck-Odelberg or ischiopubic osteochondritis was made.
范内克 - 奥德尔伯格病或耻骨坐骨骨软骨炎,是小儿骨盆疼痛的罕见原因,因耻骨坐骨软骨结合闭合延迟所致,其主要症状是不对称疼痛,可导致活动受限或跛行。简单X线摄影、计算机断层扫描、磁共振成像和骨闪烁扫描等影像学检查的不同特征,将提高诊断的确定性,并有助于与骨折、创伤后骨质溶解、感染或肿瘤进行正确的鉴别诊断,避免不必要的侵入性检查,这是一种良性疾病,经保守治疗数周或数月即可好转。一名15岁男孩因院外诊断为右侧耻骨坐骨骨折前来我院就诊。经不同影像学方法评估后,诊断为范内克 - 奥德尔伯格病或耻骨坐骨骨软骨炎。