Haviv Barak, Thein Rafael, Burg Alon, Heller Snir, Bronak Shlomo, Velkes Steven
Arthroscopy and Sports Injuries Unit, Hasharon Hospital, Rabin Medical Center, Petach-Tikva 49372, Israel ; Orthopedic Department, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 69978, Israel.
Case Rep Orthop. 2013;2013:840681. doi: 10.1155/2013/840681. Epub 2013 Feb 24.
Magnetic resonance arthrography (MRA) is commonly used to detect labral tears of the hip. Complications of MRA are unusual and include minor reactions such as chemical synovitis and urticaria. This paper presents a rapidly progressive chondrolysis of the hip in a young patient after arthrography. The patient had suffered from acute septic arthritis and was treated by emergent arthroscopic surgery followed by appropriate antibiotics. At 18 months of followup, there were no signs of active infection but evidence of joint chondrolysis. Magnetic resonance arthrography (MRA) of the hip is an invasive procedure and should therefore be recommended judiciously. Post-MRA pain is common but often mild and temporary, while post-MRA joint infection is rare; nevertheless, severe joint pain and limitation should raise suspicion for septic hip.
磁共振关节造影（MRA）常用于检测髋关节盂唇撕裂。MRA的并发症并不常见，包括化学性滑膜炎和荨麻疹等轻微反应。本文介绍了一名年轻患者在关节造影后出现的快速进展性髋关节软骨溶解。该患者曾患急性化脓性关节炎，接受了急诊关节镜手术并随后使用了适当的抗生素。在随访18个月时，没有活动性感染的迹象，但有关节软骨溶解的证据。髋关节磁共振关节造影（MRA）是一种侵入性检查，因此应谨慎推荐。MRA后疼痛很常见，但通常较轻且为暂时性，而MRA后关节感染很少见；然而，严重的关节疼痛和活动受限应引起对化脓性髋关节炎的怀疑。
