Normal X-ray Hip in a 14-year-old: A Rare Case Report

Acetabular roof lesions (ARLs) in children are an unusual condition that can affect the acetabular roof, leading to fluid accumulation in the hip joint and causing hip pain and claudication. In this case report, we present our experience with a group of children and teenagers who underwent treatment for ARLs at the Children's Hospital of Chongqing Medical University from April 2011 to September 2018.

Among the 14 patients diagnosed with ARLs, six had eosinophilic granuloma (EG), five had chronic osteomyelitis, two had bone cysts, and one had tuberculosis. We used descriptive methods to analyze the lesion structure and destruction mode based on imaging findings and histopathological diagnosis.

The diagnosis of ARLs was made through a combination of imaging studies, including X-ray, computed tomography (CT), magnetic resonance imaging (MRI), and pathological examination data collected through the Picture Archiving and Communications System. We also collected basic patient information, main symptoms and signs, results of various laboratory tests, treatment methods, and intraoperative observations through the hospital medical record system.

Treatment options for ARLs included percutaneous needle biopsy, open biopsy, curettage, and bone grafting. Five patients underwent bone grafting in addition to their primary treatment. Follow-up data were collected through an outpatient medical record system, telephone, and chat software (such as WeChat).

Our study aimed to retrospectively explore the clinical and imaging features, histopathological diagnosis, and treatment methods of ARLs in children and teenagers. The findings of this study can provide valuable insights into the diagnosis and treatment of ARLs and improve our understanding of the prognosis after treatment.

In conclusion, our case report highlights the importance of a multidisciplinary approach to diagnose and treat ARLs in children and teenagers. Further research is needed to better understand the clinical and imaging features of ARLs and to develop effective treatment strategies for this rare condition.

Normal xray hip 14 years old