Top

Archives of Orthopaedic and Trauma Surgery

Published in:

01-07-2005 | Case Report

Rapidly destructive coxopathy after subchondral insufficiency fracture of the femoral head

Authors: Rui Niimi, Masahiro Hasegawa, Akihiro Sudo, Atsumasa Uchida

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 6/2005

Abstract

Rapidly destructive coxopathy (RDC) is a rare disorder, and its pathophysiology is unknown. Here, we report a case of RDC evaluated by roentgenography and magnetic resonance imaging, from the onset of hip pain without changes on roentgenograms, to the terminal stage with collapse of the femoral head. Our serial radiological findings clearly illustrate the entire process of RDC, especially the initial stage. Subchondral insufficiency fracture of the femoral head seems to be an important preliminary event in the development of RDC.

Boutry N, Paul C, Leroy X, Fredoux D, Migaud H, Cotten A (2002) Rapidly destructive osteoarthritis of the hip: MRI findings. AJR 179:657–663PubMed

Chosa E, Tajima N, Nagatsuru Y (1997) Evaluation of acetabular coverage of the femoral head with anteroposterior and false profile radiographs of hip joint. J Orthop Sci 2:378–390

Hagino H, Okano T, Teshima R, Nishi T, Yamamoto K (1999) Insufficiency fracture of the femoral head in patients with severe osteoporosis-report of 2 cases. Acta Orthop Scand 70:87–89

Komiya S, Inoue A, Sasaguri Y, Minamitani K, Morimatsu M (1992) Rapidly destructive arthropathy of the hip Studies on bone resorptive factors in joint fluid with a theory of pathogenesis. Clin Orthop 284:273–282PubMed

Lawrance JA, Athanasou NA (1995) Rapidly destructive hip disease. Skeletal Radiol 24:639–641CrossRefPubMed

Masuhara K, Nakai T, Yamaguchi K, Yamasaki S, Sasaguri Y (2002) Significant increases in serum and plasma concentrations of matrix metalloproteinases 3 and 9 in patients with rapidly destructive osteoarthritis of the hip. Arthritis Rheum 46:2625–2631CrossRefPubMed

Offierski CM, Macnab I (1983) Hip-spine syndrome. Spine 8:316–321PubMed

Postel M, Kerboull M (1970) Total prosthetic replacement in rapidly destructive arthrosis of the hip joint. Clin Orthop 72:138–144PubMed

Rafii M, Mitnick H, Klug J, Firooznia H (1997) Insufficiency fracture of the femoral head: MRI in three patients. AJR 168:159–163PubMed

10.

Sugano N, Ohzono K, Nishii T, Sakai T, Haraguchi K, Yoshikawa H, Kubo T (2001) Early MRI findings of rapidly destructive coxopathy. Magn Reson Imaging 19:47–50CrossRefPubMed

11.

Watanabe W, Itoi E, Yamada S (2002) Early MRI findings of rapidly destructive coxarthrosis. Skeletal Radiol 31:35–38CrossRefPubMed

12.

Watanabe W, Sato K, Itoi E, Yang K, Watanabe H (2002) Posterior pelvic tilt in patients with decreased lumbar lordosis decreases acetabular femoral head covering. Orthopedics 25:321–324PubMed

13.

Yamamoto T, Bullough PG (2000) The role of subchondral insufficiency fracture in rapid destruction of the hip joint. Arthritis Rheum 43:2423–2427CrossRefPubMed

Title: Rapidly destructive coxopathy after subchondral insufficiency fracture of the femoral head
Authors: Rui Niimi
Masahiro Hasegawa
Akihiro Sudo
Atsumasa Uchida
Publication date: 01-07-2005
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 6/2005
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-005-0831-5

At a glance: The STEP trials

Springer Medicine

Rapidly destructive coxopathy after subchondral insufficiency fracture of the femoral head

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2005

A case of trigger finger following partial laceration of flexor digitorum superficialis and review of the literature

Traumatic musculocutaneous neuropathy: a case report

Functional outcome in patients with zone V flexor tendon injuries

Fatty marrow conversion of the proximal femoral metaphysis in transient bone marrow edema syndrome

Bilateral simultaneous extensor mechanism disruption following simultaneous bilateral total knee replacement

Palmar locking plate for treatment of unstable dorsal dislocated distal radius fractures