Incidentally Detected Osseous Hemangioma of the Femoral Head: Conservative Management of a Rare Case with Review of the Literature.
- 1Department of Trauma and Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
- 2Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Abstract
Osseous Hemangiomas (OH) are benign vascular lesions of the skeleton. They are mostly seen in the craniofacial bones but rarely noted in the appendicular skeleton. OHs in the long bones usually present with pain, swelling in the soft tissues, or pathological fractures. We report an uncommon case of an asymptomatic OH of the femoral head in a 56-year-old woman, detected incidentally during imaging following a fall. The OH had typical radiological characteristics on computed tomography and magnetic resonance imaging (MRI) scans, which was managed conservatively with clinical and radiological surveillance. At 6-month MRI follow-up, the lesion remained stable without progression. At 18-month clinical follow-up, the patient remained pain-free, mobilized independently without walking aids, and had no limitation in her activities of daily living. OH of the femoral head are exceedingly rare. Recognition of their typical imaging features may facilitate a non-invasive diagnosis and avoid an unnecessary biopsy or surgical intervention. We also provide a brief review of the literature to highlight the clinical and radiological spectrum of this uncommon entity.
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BibTeX
@article{sonkusale2026incidentally,
title = {{Incidentally Detected Osseous Hemangioma of the Femoral Head: Conservative Management of a Rare Case with Review of the Literature.}},
author = {Aashay Sonkusale and Silviya Ivanova and A P Nikolaides},
journal = {Journal of orthopaedic case reports},
year = {2026},
month = nov,
doi = {10.13107/jocr.2026.v16.i11.8376},
url = {https://europepmc.org/article/MED/42997112},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Incidentally Detected Osseous Hemangioma of the Femoral Head: Conservative Management of a Rare Case with Review of the Literature.
AU - Aashay Sonkusale
AU - Silviya Ivanova
AU - A P Nikolaides
PY - 2026
DA - 2026/11/01
JO - Journal of orthopaedic case reports
DO - 10.13107/jocr.2026.v16.i11.8376
UR - https://europepmc.org/article/MED/42997112
AB - Osseous Hemangiomas (OH) are benign vascular lesions of the skeleton. They are mostly seen in the craniofacial bones but rarely noted in the appendicular skeleton. OHs in the long bones usually present with pain, swelling in the soft tissues, or pathological fractures. We report an uncommon case of an asymptomatic OH of the femoral head in a 56-year-old woman, detected incidentally during imaging following a fall. The OH had typical radiological characteristics on computed tomography and magnetic resonance imaging (MRI) scans, which was managed conservatively with clinical and radiological surveillance. At 6-month MRI follow-up, the lesion remained stable without progression. At 18-month clinical follow-up, the patient remained pain-free, mobilized independently without walking aids, and had no limitation in her activities of daily living. OH of the femoral head are exceedingly rare. Recognition of their typical imaging features may facilitate a non-invasive diagnosis and avoid an unnecessary biopsy or surgical intervention. We also provide a brief review of the literature to highlight the clinical and radiological spectrum of this uncommon entity.
SN - 2250-0685
SN - 2321-3817
ER -