CC BY-NC-ND 4.0 · World J Nucl Med 2020; 19(04): 435-437
DOI: 10.4103/wjnm.WJNM_67_19
Case Report

Van Neck–Odelberg disease: A rare cause of pain in pediatric pelvis

Daniel Camacho
Department of Radiology, Fundación Santa Fe de Bogotá, Colombia
,
Patricia Bernal
Department of Radiology, Fundación Santa Fe de Bogotá, Colombia
,
Luisa Cifuentes
Department of Radiology, Fundación Santa Fe de Bogotá, Colombia
,
Oscar Rivero
Department of Radiology, Fundación Santa Fe de Bogotá, Colombia
› Author Affiliations

Abstract

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.

Financial support and sponsorship

Nil.




Publication History

Received: 24 August 2019

Accepted: 25 October 2019

Article published online:
19 April 2022

© 2020. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Sandomenico C, Tamburrini O. Bilateral accessory ossification center of the ischio-pubic synchondrosis in a female infant. Follow-up for over a three year period. Pediatr Radiol 1981;10:233-6.
  • 2 van Neck M. Osteochondritis of pubis. Arch Franco Belg Chir 1924;27:238.
  • 3 Herneth AM, Philipp MO, Pretterklieber ML, Balassy C, Winkelbauer FW, Beaulieu CF, et al. Asymmetric closure of ischiopubic synchondrosis in pediatric patients: Correlation with foot dominance. AJR Am J Roentgenol 2004;182:361-5.
  • 4 Wait A, Gaskill T, Sarwar Z, Busch M. Van neck disease: Osteochondrosis of the ischiopubic synchondrosis. J Pediatr Orthop 2011;31:520-4.
  • 5 Meyer U, Wiesmann HP, Meyer T, Schulze-Osthoff D, Jäsche J, Kruse-Lösler B, et al. Microstructural investigations of strain-related collagen mineralization. Br J Oral Maxillofac Surg 2001;39:381-9.
  • 6 Herneth AM, Trattnig S, Bader TR, Ba-Ssalamah A, Ponhold W, Wandl-Vergesslich K, et al. MR imaging of the ischiopubic synchondrosis. Magn Reson Imaging 2000;18:519-24.
  • 7 Mettler FA, Milton JG. Skeletal System, Essentials of Nuclear Medicine Imaging. 6th ed. Philadelphia, PA: Elsevier/Saunders; 2012. p. 271-314.
  • 8 Saha S, Burke C, Desai A, Vijayanathan S, Gnanasegaran G. SPECT-CT: Applications in musculoskeletal radiology. Br J Radiol 2013;86:20120519. p. 1-16.
  • 9 Holsti LR. Ischiopubic ostechondritis. Acta Radiol 1956;45:178-84.