Tahasildar Naveen, Sudesh Pebam, Tripathy Sujit Kumar, Shashidhar B K
Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
J Pediatr Orthop B. 2012 Nov;21(6):567-73. doi: 10.1097/BPB.0b013e328354da73.
Pathological dislocation of the hip has been reported as a complication in various hip disorders. Several pathomechanisms including capsular laxity, synovial hypertrophy, and acetabular and proximal femur destruction have been described. We report a case of bilateral pathological dislocation of the hip in a 6-year-old girl secondary to tuberculous arthritis following disseminated tuberculosis, which we managed operatively. At the 18-month follow-up, the child had a clinically stable left hip despite radiological subluxation. Bilateral pathological dislocation of the hip associated with tuberculous arthritis is a rare condition and has never been reported in the literature.
髋关节病理性脱位已被报道为各种髋关节疾病的一种并发症。已经描述了几种发病机制，包括关节囊松弛、滑膜增生以及髋臼和股骨近端破坏。我们报告一例6岁女孩因播散性肺结核继发结核性关节炎导致双侧髋关节病理性脱位的病例，我们对其进行了手术治疗。在18个月的随访中，尽管影像学显示半脱位，但患儿左侧髋关节临床稳定。与结核性关节炎相关的双侧髋关节病理性脱位是一种罕见疾病，文献中从未有过报道。
