DOI: 10.36347/sjmcr.2024.v12i07.002

Pages: 1216-1218

Non-traumatic hip pain in adolescents presents a significant diagnostic challenge. We report the case of a 19-year-old female patient treated for idiopathic juvenile osteoporosis with zoledronic acid, presenting with chronic inflammatory right hip pain that responded well to NSAIDs, associated with back and buttock pain. The inflammatory markers, including CRP and ESR, were negative. The pelvic radiography was normal, though thoracolumbar spine radiography revealed scoliosis. Consequently, MRI of the sacroiliac joints was performed to search for sacroiliitis but revealed a 5 mm nidus with reactive sclerosis, suggestive of an osteoid osteoma. The natural progression of the patient's pain showed spontaneous regression within one year.