Van Neck's disease

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Classification according to ICD-10
M91.0 Juvenile osteochondrosis of the pelvis
Synchondrosis ischiopubica [van Neck disease]
ICD-10 online (WHO version 2019)

The van Neck's disease or Crohn's Odelberg-van Neck is a rare form of aseptic osteonecrosis in the area of the basin (Synchondrosis or osteochondritis ischiopubic).

Osteochondrosis is on the lower pubic branch at the cartilaginous connection between the pubic bone and the ischium, where the osseous fusion is delayed. It occurs at school age, especially when the pelvis is heavily used. In the past, it was observed more frequently after arthrodesis or ankylosis of a hip joint with correspondingly greater stress on the pelvic ring. Usually it is present on both sides.

Complaints appear as spontaneous or stress-related pain in the groin, but are very unspecific. Radiologically, osteolytic changes, irregular mineralization and swellings can be observed.

The prognosis is good, the osseous fusion will be delayed at best. In the event of complaints, partial relief of the affected side is recommended.

The disease was described by Odelberg (1923) and Van Neck (1924).

literature

  • Luca Macarini, Tania Lallo, Paola Milillo, Silvana Muscarella, Roberta Vinci, Luca P. Stoppino: Case report: Multimodality imaging of van Neck-Odelberg disease. In: The Indian journal of radiology & imaging. Volume 21, number 2, April 2011, ISSN  1998-3808 , pp. 107-110, doi : 10.4103 / 0971-3026.82286 , PMID 21799592 , PMC 3137846 (free full text).
  • Fritz U. Niethard, Joachim Pfeil, Peter Biberthaler: Orthopedics and trauma surgery (= dual series ). 6th, completely revised and expanded edition. Thieme, Stuttgart 2009, ISBN 978-3-13-130816-0 .

Individual evidence

  1. ^ M. van Neck: Osteochondrite du pubis. In: Archives franco-belges de Chirurgie. Vol. 27, 1924, ZDB -ID 425072-2 , pp. 238-241.
  2. Axel Odelberg: Some cases of destruction in the ischium of doubtful etiology. In: Acta Chirurgica Scandinavica . Vol. 56, 1924, ISSN  0001-5482 , pp. 273-284.