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February 20, 1967

Lucent Lesion in the Femoral Neck

Author Affiliations

From the weekly X-ray Seminar, Department of Radiology, Massachusetts General Hospital, Boston.

JAMA. 1967;199(8):574-575. doi:10.1001/jama.1967.03120080108020

Dr. Joseph T. Ferrucci, Jr.: This patient, a 30-year-old surgeon, noted the sudden onset of pain in his left hip while descending a staircase four months prior to admission. The pain persisted and was slightly aggravated by extremes of motion. Night pain occasionally occurred. A roentgenogram six weeks prior to this admission revealed a lesion in the left femoral neck. Aspirin was administered with considerable relief of symptoms. The physical examination and laboratory studies were not remarkable, and this examination of the hip was performed (Figure).

Discussion  Dr. Laurence L. Robbins: Dr. Dreyfuss, do you have any ideas about this?Dr. Jack R. Dreyfuss: There is an area of rarefaction in the intertrochanteric region somewhat nearer the lesser trochanter. There is no periosteal reaction or sclerosis, and I do not see any other lesions. Actually, this is a fairly large area of lucency, measuring over 4 cm in length. It