Rapidly destructive osteoarthritis of the hip joint: a case series

Batra, Sameer; Batra, Meenakshi; McMurtrie, A; Sinha, A. K.

doi:10.1186/1749-799x-3-3

Cited by 73 publications

(68 citation statements)

References 11 publications

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“…For Query 3, eight articles [8,[22][23][24][25][26][27][28] were returned initially and, after application of inclusion criteria, three articles [8,22,26] were included in the analysis. Mean waiting times ranged from 16.1 weeks in Nunez et al [26] to 43.4 weeks in Vuorenmaa et al [8].…”

Section: Resultsmentioning

confidence: 99%

Comparing the Cumulative Pain Patients Experience Waiting for Knee Arthroplasty to their Postoperative Pain

Schwenk¹,

Dexter²,

Epstein³

2013

J Anesth Clin Res

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Introduction: Reduction of pain is a major goal of anesthesiologists treating patients undergoing knee arthroplasty. This has been achieved traditionally through the use of regional analgesia. Although these techniques decrease postoperative pain, they inherently do not affect the longstanding pain patients experience as they wait for surgery. Our objectives were to quantify: 1) the decrease in pain achieved by surgical joint replacement; and 2) the decrease in postoperative pain achievable through femoral nerve blocks versus opioids. From a systems-based perspective, we wanted to determine how much reduction in waiting time before surgery would be necessary to achieve an equal cumulative pain decrease (i.e, pain x duration of pain) as that afforded by regional techniques in the immediate postoperative period. Materials and methods:A systematic review using PubMed was performed to obtain: 1) articles reporting preoperative pain scores for patients awaiting joint arthroplasty; 2) articles with knee arthroplasty patients who received femoral nerve blocks; and 3) articles providing duration on joint arthroplasty waiting lists. Cumulative pain was assessed by the area under the response curve of pain scores vs. time, a methodology that is simple and valid. This was calculated by multiplying mean pain scores by the duration of pain. Results:The decrease in knee pain subsequent to arthroplasty (6.4/10 vs. 2.9/10) is similar to the decrease in pain afforded by femoral nerve blocks for knee arthroplasty (4.7/10 vs. 2.0/10). Waiting times in many countries exceed 3 months. A decrease in waiting time by about 2 days results in a decrease in the area under the curve of Conclusion: Reducing waiting time for knee arthroplasty decreases total pain experienced by patients and is one systems-based approach that anesthesiologists could take to relieve pain. Further studies are needed to evaluate how best to accomplish this goal.pain comparable to that afforded by femoral nerve blocks.

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Section: Resultsmentioning

confidence: 99%

Comparing the Cumulative Pain Patients Experience Waiting for Knee Arthroplasty to their Postoperative Pain

Schwenk¹,

Dexter²,

Epstein³

2013

J Anesth Clin Res

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“…It was first described by Lequesne [9] as joint space shrinking by more than 2 mm per year. It is occasionally associated with massive destruction of the femoral head and/or acetabulum, usually after six to twelve months [10]. In 2017, Seo [11] described a series of fifteen cases of massive osteolysis of the femoral head (MOFH) which does not appear to be an entity of avascular necrosis or rapidly progressive osteoarthritis, but a distinctive variant of post-traumatic osteolysis.…”

Section: Discussionmentioning

confidence: 99%

Rapidly Progressive Osteolysis of the Femoral Head Following An Acetabular Fracture - Case Report

Alexa¹,

Malancea²,

Puha³

et al. 2017

Surgery

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“…The differential diagnosis of rapid destructive arthritis of the hip should include ordinary primary hip arthritis and osteonecrosis of the femoral head; however, the lack of new bone formation and absence of osteophytes, the more rapid and pervasive invasion, and the lack of recurrent necrosis and a line of demarcation between necrotic and healthy tissue should differentiate rapid destructive arthritis of the hip from these more common entities [12]. The differential diagnosis should also include a similarly mysterious entity called Gorham-Stout disease, also known as massive osteolysis or ''disappearing bone disease.''…”

Section: Diagnosismentioning

confidence: 98%

“…A previous study defined the following criteria for the diagnosis of the disease: (1) a clinical history of hip pain of 1-to 6-month duration; (2) radiographic appearance of rapidly progressive atrophic bone destruction involving the femoral head and acetabulum; (3) absence of clinical or laboratory evidence of infectious, neurologic, metabolic, endocrine, or inflammatory disorders; and (4) exclusion of posttraumatic hip arthritis, as well as septic hip arthritis with joint aspiration and/or biopsy (Fig. 2) [12].…”

Section: Diagnosismentioning

confidence: 99%

Rapid destructive arthritis of the hip revisited

Mavrogenis

Flevas

Panagopoulos

et al. 2015

Eur J Orthop Surg Traumatol

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Rapid destructive arthritis of the hip is a rare entity with unknown pathogenesis and outcome. First described by Forestier in 1957, it is characterized by a rapidly progressive hip disease resulting in rapid destruction of both the femoral and acetabular aspects of the hip joint, with almost complete disappearance of the femoral head within a few months. Since the original description, case reports and small series have been reported, and many names have been proposed to describe the rapid destruction of the femoral head and occasionally the acetabulum. Initial presentation includes acute hip pain with the lack of radiographic evidence of joint destruction, rapidly progressing to complete vanishing of the proximal femur within a few months. This article summarizes the related literature aiming to present the current concepts for the diagnosis and treatment of rapid destructive arthritis of the hip.

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Rapidly destructive osteoarthritis of the hip joint: a case series

Abstract: Background: Rapidly destructive arthrosis of the hip is a rare and incompletely understood disorder with scarce literature about variations in natural history within a population.

Cited by 73 publications

References 11 publications

Comparing the Cumulative Pain Patients Experience Waiting for Knee Arthroplasty to their Postoperative Pain

Comparing the Cumulative Pain Patients Experience Waiting for Knee Arthroplasty to their Postoperative Pain

Rapidly Progressive Osteolysis of the Femoral Head Following An Acetabular Fracture - Case Report

Rapid destructive arthritis of the hip revisited

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