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What Is The Cause For Lesions In The Right Ilium And Femoral Head?

Posted on Sat, 18 Jan 2014

Question: what are lesions in the right ilium and femoral head and left symphsis and femur and bone islands lwhat are synovia her nation pits

Answered by Dr. Saurabh Gupta (3 hours later)

Brief Answer: Benign and usually found incidentally on imaging. Detailed Answer: Hello, Thanks for your query. Both the lesions bone islands and synovial herniation pits are benign entity , usually found incidentally on imaging studies. Bone Island is caused by overproduction of bone or cartilage cells and is a benign growth of bone or cartilage within the marrow. They cause no ill effects but can cause pain after exercising. Synovial herniation pit is round to oval radiolucency often identified in the superior quadrant of adult femoral necks. Although usually recognized as incidental and benign, these radiolucencies may be of clinical concern in patients with hip symptoms. These lesions are usually less than 1 cm in greatest diameter and are bordered by a thin, organized sclerotic zone. I do hope that you have found something helpful and I will be glad to answer any further query. Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saurabh Gupta (21 minutes later)

yes dr 1) how does one cause the overproduction of bone or cartilage cells within the marrow? 2)what tests do they give- is it cancer ?autoimmine - lack of vitamin d osteporis how does one get this? i do have hip problems

Answered by Dr. Saurabh Gupta (14 hours later)

Brief Answer: It is unknown what causes bone islands. Detailed Answer: Hi, It is unknown what causes bone islands, but there is a link between being exposed to chemicals or radiation. Do not worry. These are not cancer, autoimmune or due to osteoporosis or lack of vit d. Bone islands usually do not need any type of treatment . Options for treatment can include surgery to remove the growth if it is causing pain or it becomes malignant. Hope this will helps you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saurabh Gupta (2 hours later)

thankyou but is there a test? i know i there is association between labral tear and acetablula impingement who does the test how do we know if it is malignant? what blood tests should one get? also do you think it is from radio active iodine she you have your thyroid removed? that cause of radiation? or what kind of chemicals can i avoid? thank you so much- but is not ostearthritis?

Answered by Dr. Saurabh Gupta (16 hours later)

Brief Answer: Bone scan test can be done. Detailed Answer: Hi, If the lesion is increases in size or appears more aggressive, nuclear medicine bone scan test can be done to see any malignant change. In blood test one should get complete blood count(CBC) and erythrocyte sedimentation rate(ESR). There might be possibility of link between this and radioactive iodine. Many things are known to increase the risk of malignancy, including tobacco use, dietary factors, certain infections, exposure to radiation, lack of physical activity, obesity, and environmental pollutants. These could be prevented by not smoking, eating more vegetables, fruits and whole grains, eating less meat and refined carbohydrates, maintaining a healthy weight, exercising and minimizing sunlight exposure.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar