Langerhans Cell Histiocytosis Presenting as a Lesser Trochanter Fracture in an Adolescent: A Case Report. Issue 1 (6th January 2023)

• Record Type: Journal Article
• Authors: McCambridge, Teri Metcalf; Papakyrikos, Cole; Levin, Adam
• Is Part Of: JBJS case connector. Volume 13:Issue 1(2023)
• Publication Date: 2023-01-06
• Subjects: adolescent -- Langerhans cell histiocytosis -- lesser trochanter fracture; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.21.00820
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: We present the case of an 18-year-old man with right hip pain who was found to have a lytic lesion of the lesser trochanter of the right femur with cortical destruction and a lytic lesion of the left inferior pubic ramus. Additional imaging and pathology testing confirmed a diagnosis of multifocal, single-system Langerhans cell histiocytosis (LCH) of the bone. Conclusion: LCH is a rare pediatric disease most commonly diagnosed in toddlers and young school-age children. Its epidemiologic characteristics are poorly described for young adults and older adolescents, in whom clinical suspicion should be maintained when evaluating multifocal osseous lesions.