Multiple small sclerotic bone lesions throughout the pelvis

Case of the Month

Clinical

37 year old female, injured left hip running.

 

Findings

Multiple small sclerotic bone lesions throughout the pelvis, with a periarticular predominance.

 

Discussion

Osteopoikilosis, multiple bone islands, is a condition is transmitted in an autosomal dominant manner.

Lesions are usually located near the joint areas of the long bones, pelvis, scapula, and in the small bones of the hands and feet.

The condition is hereditary, with equal susceptibility for males and females.
Osteopoikilosis presents with no symptoms. Though, those with a family history of the condition are more likely to inherit it.
Radiographically, lesions are seen in the metaphyseal and epiphyseal areas of affected bones. The bones show multiple discrete or clustered foci of radiopacity with uniform density, giving the bone a spotted appearance.

Bone scan activity is normal.