Tiwari Anurag, Karkhur Yugal, Keeney James A, Aggarwal Ajay
Department of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.
Arthroplast Today. 2018 Feb 15;4(2):184-186. doi: 10.1016/j.artd.2018.01.002. eCollection 2018 Jun.
Rapid destructive osteoarthritis of the hip is a separate entity different from the usual osteoarthritis. It is usually seen in elderly women, and the characteristic feature is the rapid progression within 6 to 12 months to complete destruction of the joint. The exact etiology is not known. We present a rare case of rapid destructive osteoarthritis of the hip in a 62-year-old woman who developed it within 2 months of intra-articular steroid injection, which was managed well with uncemented total hip arthroplasty. Through this report, we emphasize the possibility of the disastrous complication of injection, which should be informed to the patient before any intra-articular injection.
髋关节快速破坏性骨关节炎是一种不同于普通骨关节炎的独立疾病。它通常见于老年女性，其特征是在6至12个月内迅速发展至关节完全破坏。确切病因尚不清楚。我们报告一例罕见的62岁女性髋关节快速破坏性骨关节炎病例，该患者在关节内注射类固醇激素后2个月内发病，通过非骨水泥型全髋关节置换术得到了良好治疗。通过本报告，我们强调了注射可能导致灾难性并发症的可能性，在进行任何关节内注射之前都应告知患者。
