Pathologic Femur Fracture in an Immunocompetent Healthy Young Adult due to Acute Osteomyelitis

Figure 1

33-year-old woman with one month of vague thigh pain presented with pathologic fracture. (a) AP radiograph of the right femur shows a displaced pathologic fracture of the proximal femoral shaft. Smooth periosteal reaction (arrow) surrounds the proximal femoral shaft. Permeative bone destruction is seen at the fracture bone ends. (b) Oblique radiographic view shows additional organized, thick, and dense periosteal reaction or involucrum around the infected cortex (open arrow).

(a)

(b)