Bilateral vanishing hips, coincidence or systemic disease? A case report and overview of current literature

Abstract

Rapidly progressive hip disease (RDHD) is a rare condition of the hip joint, causing destruction of the femoral head. The pathogenesis is unknown. The disease is self-limiting, there is no treatment to stop the disease. Hip arthroplasty is a successful way to relieve pain and restore function. We present a case where both hips were involved and analysed. A favourable result was obtained by bilateral total hip arthroplasty.

Bilateral rapidly destructive coxopathy in rheumatoid arthritis

“…Our investigation yielded 26 articles suggesting a potential correlation between RDC and endocrine [10][11][12][13], metabolic [13][14][15][16][17], hematologic [18,19], toxic [20][21][22], rheumatic conditions [23][24][25][26][27][28][29][30], or fractures/injuries [31][32][33][34][35] which we included in our analysis. Table I summarizes the clinical characteristics of patients with RDC associated with secondary conditions identified throughout the studies in the review, while Table II focuses specifically on RDC associated with RA.…”

A Tale of Bilateral Rapidly Progressive Osteoarthritis of the Hip—It Is Not Always the Steroid Injection

“…9 One case report of bilateral RPOH in a 70-yr-old man with a history of alcohol abuse identified his alcohol consumption as the probable cause of RPOH. 10 However, RPOH affected both of his hips concurrently, leading to suspicion of a more systemic cause. 10 While determining the cause of RPOH may remain uncertain, awareness of potential risk factors may aid in prompt detection and diagnosis of RPOH.…”

“…10 However, RPOH affected both of his hips concurrently, leading to suspicion of a more systemic cause. 10 While determining the cause of RPOH may remain uncertain, awareness of potential risk factors may aid in prompt detection and diagnosis of RPOH.…”

“…It has been reported that both increased alcohol use and smoking are significant risk factors for the development of osteonecrosis of the femoral head 9 . One case report of bilateral RPOH in a 70-yr-old man with a history of alcohol abuse identified his alcohol consumption as the probable cause of RPOH 10 . However, RPOH affected both of his hips concurrently, leading to suspicion of a more systemic cause 10 .…”