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Rheumatology 2000; 39: 443-444
© 2000 British Society for Rheumatology

Letters to the Editor

Giant geode (pseudocyst) formation of the femoral neck in a case of osteoarthritis

A. P. COHEN and T. G. MCWILLIAMS

Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ, UK

SIR, Although femoral head subchondral pseudocysts of up to 25 mm in diameter are recognized in osteoarthritis [1–3], they rarely occur in the femoral neck, and giant lesions are uncommon. The radiological appearances of such lesions, especially when associated with rheumatoid arthritis, can present diagnostic difficulty, in some cases simulating malignancy [4–6].

A 59-yr-old man was referred to the orthopaedic clinic because of increasing right hip pain. Rheumatoid factor antibody assay was <20 IU/ml, and the uric acid level . . . [Full Text of this Article]

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