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bilateral lateral hip pain

Madura Adikari, Aloka Gunawardane, Sachithra Illangantilaka, Himantha Atukorale, Jeevanie Rubasinghe
BACKGROUND: Avascular necrosis occur as a result of diverse etiology. Chronic inflammatory conditions such as systemic lupus erythematosus considered as a recognize cause. Many cases were reported in systemic lupus erythematosus after treating with corticosteroids. We report a case of a corticosteroid naïve patient presented as bilateral avascular necrosis of femoral head and later progressed to a case of systemic lupus erythematosus. CASE PRESENTATION: A 26 year old lady presented with right sided hip pain and diagnosed as avascular necrosis of the femoral head...
2016: BMC Research Notes
Kimberly A Fox, Todd M Phillips, Joseph H Yanta, Michael G Abesamis
CONTEXT: Post-arthroplasty metallosis, which refers to metallic corrosion and deposition of metallic debris in the periprosthetic soft tissues of the body, is an uncommon complication. Systemic cobalt toxicity post-arthroplasty is extremely rare. The few known fatal cases of cobalt toxicity appear to be a result of replacing shattered ceramic heads with metal-on-metal or metal-on-polyethylene implants. Friction between residual shards of ceramic and cobalt-chromium implants allows release of cobalt into the synovial fluid and bloodstream, resulting in elevated whole blood cobalt levels and potential toxicity...
November 2016: Clinical Toxicology
Tung-Ming Chang, Kuender D Yang, Su-Boon Yong
Juvenile idiopathic arthritis is the most common rheumatic disease in childhood. It is a chronic inflammatory disease associated with arthritis of unknown etiology that begins before the age of 16 and persists for longer than 6 weeks. In this report, the case of a child who suffered recurrent alternative hip arthritis with bilateral hip arthritis is examined, in which he was finally diagnosed as suffering from Juvenile idiopathic arthritis. A 14-year-old boy of Taiwanese origin presented with a normal birth and developmental history...
May 2016: Pakistan Journal of Pharmaceutical Sciences
Ning Xu, Junying Sun, Xijiang Zhao, Tao Wang
OBJECTIVE: To investigate the application and effectiveness of the biological type acetabular cup(diameter < 44 mm) in adult Crowe type IV developmental dysplasia of the hip (DDH). METHODS: Between April 2001 andAugust 2013, biological type acetabular cup was used in total hip arthroplasty for the treatment of Crowe type IV DDH in16 cases (20 hips). There were 3 males and 13 females, aged 31-69 years (mean, 49 years). Unilateral hip was involved in 12cases, and bilateral hips in 4 cases...
January 2016: Chinese Journal of Reparative and Reconstructive Surgery
Domenico Albano, Giovanni Bosio, Barbara Paghera, Francesco Bertagna
Diagnosing prosthetic joint infection is difficult; clinical signs and symptoms, laboratory tests, radiography, and joint aspiration are less sensitive and specific. We report a patient with fever and painful bilateral hip prosthesis, who underwent Tc-sulesomab scan showing moderate tracer uptake at the lateral surface of the right thigh and no signs of prosthesis infection. The F-FDG-PET/CT showed high uptake at the soft tissue of the right hip prosthesis and detected a fistula. Moreover PET/CT discovered an initial bone marrow involvement at the right femur...
June 2016: Clinical Nuclear Medicine
Karen Perry
PRACTICAL RELEVANCE: The reported incidence of hip dysplasia (HD) in cats varies dramatically between studies, but the condition is likely more common than we realise. There is little doubt that cats with HD and associated osteoarthritis (OA) suffer pain, and this warrants appropriate therapy. DIAGNOSTIC CHALLENGES: Clinical signs of HD in cats are often gradual in onset, making them difficult to appreciate, but may include inactivity, pelvic limb lameness, difficulty jumping and climbing stairs, and reluctance to squat to defecate...
March 2016: Journal of Feline Medicine and Surgery
M Hackl, M Trost, C K Boese, D Müller, P Eysel, J Dargel
Ischiofemoral impingement (IFI) is a rare cause of hip pain and was first described in 1977. While it can be related to trauma, it may also be idiopathic. We report a case of IFI in a 22-year old female, who was successfully treated by resection of the lesser trochanter. However, 8 months later, symptoms recurred on the contralateral side. Surgical intervention was required to alleviate the patient's symptoms. This case report discusses the clinical, diagnostic and therapeutic features of IFI.
April 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
Frantz Lerebours, William Robertson, Brian Neri, Brian Schulz, Thomas Youm, Orr Limpisvasti
BACKGROUND: Femoroacetabular impingement (FAI) has been increasingly recognized as a cause of hip pain in athletes at all levels of competition, specifically ice hockey players. PURPOSE/HYPOTHESIS: The purpose of this study was to define the prevalence of cam and pincer radiographic deformity in elite ice hockey players. The hypothesis was that elite hockey players will have a higher prevalence of radiographic hip abnormalities compared with the general population...
April 2016: American Journal of Sports Medicine
Joshua D Harris, Brayden J Gerrie, David M Lintner, Kevin E Varner, Patrick C McCulloch
A normal hip has a natural tendency toward stability because of both osseous and soft tissue structures. Hip motion is primarily rotational around a center of rotation. When the femoral head and its center of rotation translate, with or without rotation, the inherent stability of the femoroacetabular articulation may be lost. The spectrum of hip instability ranges from subtle microinstability to traumatic dislocation. Microinstability may be the cause or the effect of several other hip pathologies. Soft tissue contributions to stability include the static capsule, dynamic musculotendinous units, and underlying generalized connective tissue (eg, Ehlers-Danlos)...
January 2016: Orthopedics
Joaquin Moya-Angeler, Lester Zambrana, Geoffrey H Westrich, Joseph M Lane
INTRODUCTION: Atypical femoral fractures (AFF) can be present in patients with hip osteoarthritis (OA). This case highlights the opportunity to review the management of stress reactions, stress fractures and atypical femoral fractures, which depend on the activity of the fracture. CASE PRESENTATION: A 66-year-old female with a history of long-term bisphosphonate use underwent a total hip replacement for symptomatic osteoarthritis with a clinical presentation of right groin pain and radiographic signs of joint space narrowing and osteophyte formation...
March 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Takashi Nagai, John P Abt, Timothy C Sell, Karen A Keenan, Nicholas C Clark, Brian W Smalley, Michael D Wirt, Scott M Lephart
BACKGROUND: Low back pain (LBP) is one of the most common musculoskeletal issues facing military helicopter pilots. It is clinically important to identify differences in musculoskeletal characteristics between pilots with and without a LBP history for formulating effective interventions. OBJECTIVE: To compare lumbar spine and hip flexibility and trunk strength in pilots with and without a LBP history. METHODS: A total of 30 pilots with a LBP history were matched with pilots without a LBP history...
2015: Work: a Journal of Prevention, Assessment, and Rehabilitation
Hirohito Tanaka, Keisuke Watarai, Iichiro Osawa, Michio Shiibashi, Yoon Taek Kim, Hiromi Oda, Hirohiko Azuma
BACKGROUND: Although little is known, a limited number of three-dimensional computed tomography (CT) images of the pelvis present focal concavity of posterior superior acetabulum. The purpose of the present study was to investigate this morphologic deformity and its relation with dysplasia and retroversion in adults who were expected to have the original morphology of the acetabulum after growth. METHODS: Consecutive adult patients with hip pain who visited our hospital and had three-dimensional pelvic CT images were retrospectively analyzed after approval of the institutional review board; exclusion criterions included diseases, injuries and operations that affect the morphology of the hip including radiographic osteoarthritis Tönnis grades 2 and 3...
2015: BMC Musculoskeletal Disorders
O Şahap Atik, İsmail Daldal
In this article, we report the radiological and clinical status at postoperative 37th year of a 39-year-old male patient who was treated with bilateral Salter innominate osteotomy due to bilateral developmental dysplasia of the hip when he was two years old. The patient expressed that he had no complaint including pain or limitation in range of motion in both hip joints for 37 years. Pain started six months ago in right hip joint. Patient used cortisone for 12 months with a diagnosis of Henoch-Schönlein purpura five years ago...
2015: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
V L Parker, P Sanderson, D Raw, K Farag
Endometrial carcinoma is the fourth most common cancer in U.K. women. Previous literature describes local, haematological or lymphatic dissemination to common sites including vaginal vault, lungs, liver, bones and brain. The authors present two unusual cases of endometrial cancer metastases to the psoas major muscle and laparoscopic port sites. Case 1 involves a 71-year-old female who underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy and peritoneal washings (TAH, BSO, PW) for Grade 1 endometrial cancer, Stage lB...
2015: European Journal of Gynaecological Oncology
Lütfi Akyol, Kerim Aslan, Metin Özgen, Mehmet Sayarlioglu
We present a rare case of a comorbidity of sacroiliitis and brucellosis infection. A 28-year-old woman received irregular medication due to ongoing backache and hip pain for 5 years. The patient presented to our hospital for evaluation of visual loss and was diagnosed with uveitis. Sacroiliac MRI was performed to investigate the inflammatory backache and hip pain, and the aetiology of the uveitis, revealing the presence of sacroiliitis. The patient's blood test results were as follows: positive brucellosis Rose Bengal test and positive tube agglutination test with a titre of 1/640...
2015: BMJ Case Reports
Lin Xie, Fan Ding, Jing Jiao, Wusheng Kan, Junwen Wang
BACKGROUND: Osteopetrosis is an uncommon, inherited disease, characterized by osteosclerosis, obliteration of the medullary canal, calcified cartilage and brittle bone due to impaired osteoclast resorption. Osteoarthritis is common in patients with osteopetrosis. If the patient has pain and dysfunction, total joint arthroplasty is often the treatment of choice but presents many intraoperative and postoperative challenges. Few studies have presented both Total hip arthroplasty (THA) and Total knee arthroplasty (TKA) in one patient...
2015: BMC Musculoskeletal Disorders
Yirong Zeng, Xinyu Qi, Wenjun Feng, Jie Li, Feilong Li, Jianchun Zeng, Chunzhi Yi, Jinlun Chen
BACKGROUND: We aimed to evaluate the clinical and radiological short-medium term outcomes for the treatment of bilateral osteonecrosis of the femoral head (ONFH) with hip-preserving surgery of core decompression followed by tightly impaction bone grafting combining with non-vascularized fibular allografting in one hip and concurrent one-stage total hip arthroplasty (THA) in the contralateral side. We hypothesized the aforementioned surgery showed benefits of protecting the preserved hip from collapsing and thereafter THA was delayed or avoided...
2015: BMC Musculoskeletal Disorders
C Celik, S Akcay-Yalbuzdag, A M Erol, B Karabulut
Although hip osteoarthritis usually shows a slow progression, a rapidly destructive osteoarthritis is observed in approximately 10% of patients. We aimed to present a case with rapidly destructive osteoarthritis in bilateral hip joints. A 78-year-old male patient was admitted due to pain in hip joints. In examination, hip movements were minimally painful and limited. The patient was able to walk independently with a cane. When he re-applied six months later, hip movements were severely limited and painful. In plain radiographs, while a slight narrowing in hip joint space, sclerosis and minimal osteophyte had been observed at the first administration, extreme narrowing, subluxation, flattening of femoral head, increased sclerosis, resorption in femoral head and acetabulum were detected six months later...
July 2015: Acta Reumatológica Portuguesa
Jonathan T Finnoff, Jeffrey R Bond, Mark S Collins, Jacob L Sellon, John H Hollman, Michael K Wempe, Jay Smith
BACKGROUND: Ischiofemoral impingement is caused by compression of the quadratus femoris muscle between the ischial tuberosity and lesser trochanter. The evaluation of ischiofemoral impingement includes radiologic studies to evaluate the ischiofemoral space dimensions. No prior study has evaluated the effect of femoral position on ischiofemoral space dimensions. OBJECTIVE: To determine whether the dimensions of the ischiofemoral space vary with changes in femoral position...
September 2015: PM & R: the Journal of Injury, Function, and Rehabilitation
Sayed E Wahezi, Kyle Silva, Shervin Najafi
Multiple myeloma is a hematologic malignancy associated with destructive bone loss. Lytic lesions, a hallmark of this cancer, can result in significant morbidity because of associated pain and structural osseous compromise. Osteoplasty has demonstrated efficacy in the treatment of myelomatous pain within the axial skeleton; however, there is limited evidence supporting the utility of osteoplasty to treat extra-spinal lesions. We describe a 67 year-old woman with stable IgA lambda multiple myeloma with sentinel bilateral greater trochanteric lytic lesions that was referred to our interventional pain management clinic for evaluation of bilateral lateral hip pain...
January 2015: Pain Physician
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