From the Department of Physiatry, Hospital for Special Surgery (JC, CB, OL, JT, JW), and Athlete's Spine Injury Program at Hospital for Special Surgery (JW, CB), New York, New York.
Am J Phys Med Rehabil. 2024 May 1;103(5):e51-e53. doi: 10.1097/PHM.0000000000002391. Epub 2023 Dec 13.
Rapidly progressive osteoarthritis of the hip is an unusual subset of hip osteoarthritis in which a >2 mm/yr rate of joint space narrowing occurs. Rapidly progressive osteoarthritis of the hip has been associated with intra-articular steroid injection, with the incidence of rapidly progressive osteoarthritis of the hip after intra-articular steroid injection ranging from 2.8% to 21%. The occurrence of rapidly progressive osteoarthritis of the hip unrelated to intra-articular steroid injection is rare, and not frequently reported. This report presents a unique case of rapidly progressive osteoarthritis of the hip in the bilateral hips of one patient. The first hip developed rapidly progressive osteoarthritis of the hip within 6 mos after an intra-articular steroid injection. Three years later, the second hip developed rapidly progressive osteoarthritis of the hip within 4 mos without any injection or use of systemic steroid medication. The etiology of rapidly progressive osteoarthritis of the hip in the absence of intra-articular steroid injection is unclear, and this case presents the opportunity to observe the development of rapidly progressive osteoarthritis of the hip due to different causes within the same individual.
髋关节快速进展性骨关节炎是髋关节骨关节炎的一个不常见亚型，其关节间隙变窄的速度>2mm/年。髋关节内类固醇注射与髋关节快速进展性骨关节炎有关，髋关节内类固醇注射后髋关节快速进展性骨关节炎的发生率为 2.8%至 21%。与关节内类固醇注射无关的髋关节快速进展性骨关节炎的发生较为罕见，且报道较少。本报告介绍了一例患者双侧髋关节发生髋关节快速进展性骨关节炎的独特病例。第一次髋关节在关节内注射类固醇后 6 个月内发生快速进展性骨关节炎。3 年后，第二次髋关节在没有任何注射或使用全身类固醇药物的情况下，在 4 个月内发生了快速进展性骨关节炎。在没有关节内类固醇注射的情况下，髋关节快速进展性骨关节炎的病因尚不清楚，本例为同一患者因不同原因发生髋关节快速进展性骨关节炎提供了观察机会。
