Subperiosteal hematoma of the iliac bone: An unusual cause of acute hip pain after a fall

Tetsuya Yumoto, Ryoji Joko, Yasuaki Yamakawa, Taihei Yamada, Hiromichi Naito, Atsunori Nakao

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: Rare disease Background: Subperiosteal hematoma (SPH) of the iliac bone is an extremely uncommon clinical entity that occurs mostly in young patients with a history of a recent fall or sports-related injury. Patients usually complain of severe hip pain after a fall, mimicking femoral neck fracture. Case Report: An 18-year-old female was transported to our hospital complaining of pain in her left hip after falling on her buttocks while engaging in martial arts. Ultrasound of her left iliac region revealed a subperiosteal mass on the internal aspect of the iliac bone lifting the iliac muscle. SPH of the iliac bone was suspected, which was also evident on pelvis and hip magnetic resonance imaging. Repetitive ultrasound did not reveal hematoma expansion. She was discharged from the hospital the next day without femoral neuropathy. Conclusions: Physicians should be aware of our report, which highlights a patient with the rare clinical condition of SPH of the iliac bone occurring immediately after a fall. The differential diagnosis of acute hip pain, which mimics femoral neck fracture, should be considered in young patients. Ultrasound of the iliac region may be useful in detection and further management of SPH of the iliac bone.

Original languageEnglish
Article number910010
Pages (from-to)1083-1086
Number of pages4
JournalAmerican Journal of Case Reports
Volume19
DOIs
Publication statusPublished - Sep 12 2018

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Acute Pain
Hematoma
Hip
Bone and Bones
Femoral Neck Fractures
Femoral Neuropathy
Accidental Falls
Martial Arts
Pain
Athletic Injuries
Buttocks
Rare Diseases
Pelvis
Differential Diagnosis
Magnetic Resonance Imaging
Physicians
Muscles

Keywords

  • Diagnosis, differential
  • Hematoma
  • Wounds, nonpenetrating

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Subperiosteal hematoma of the iliac bone : An unusual cause of acute hip pain after a fall. / Yumoto, Tetsuya; Joko, Ryoji; Yamakawa, Yasuaki; Yamada, Taihei; Naito, Hiromichi; Nakao, Atsunori.

In: American Journal of Case Reports, Vol. 19, 910010, 12.09.2018, p. 1083-1086.

Research output: Contribution to journalArticle

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