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A case of rapidly destructive osteoarthritis of the hip with onset of less than six weeks
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Autores
Huerfano, Elina
Bautista, Maria
Bonilla, Guillermo
Palau-Lazaro, Mauricio
Llinás, Adolfo
Monsalvo, Daniel
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Fecha
2017
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Elsevier B.V.
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Abstract
Introduction Rapidly destructive osteoarthritis is characterized by a severe destruction of the hip joint developing over short periods of time. However, to date, there is no agreement on the biological process that triggers this condition. The aim of this report is to present a case of rapidly destructive osteoarthritis. Case report We report a case of a 76 year-old female who presented with hip pain of sudden onset and normal X-rays. Six weeks later she presented with increased pain intensity, functional limitation and evidence of a collapse of the femoral head in the X-rays. Discussion Rapidly destructive osteoarthritis of the hip is a complex entity that might be more frequent than previously described and which clinical course could vary between few weeks and several months. In order to make an accurate diagnosis, other causes of massive destruction of the joint should be excluded. © 2017
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Keywords
Nonsteroid antiinflammatory agent , Acetabulum , Aged , Article , Bone biopsy , Bone marrow edema , Case report , Female , Femoral head , Femoral neck , Follow up , Gluteus minimus muscle , Hip osteoarthritis , Hip pain , Hip prosthesis , Human , Human tissue , Iliopsoas muscle , Nuclear magnetic resonance imaging , Pelvis radiography , Posterolateral approach , Priority journal , Range of motion , Surgical approach , Total hip prosthesis , Hip osteoarthritis , Rapidly destructive , Total hip replacement
