Rapid destruction of the hip joint in osteoarthritis
1 Department of Orthopaedic Surgery, Kyushu University, Japan
2 Department of Radiology, Hospital for Special Surgery, New York, USA
3 Department of Laboratory Medicine, Hospital for Special Surgery, New York, USA
Correspondence to:
Dr Peter G Bullough, Department of Laboratory Medicine, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA; bulloughp@hss.edu
Accepted 16 December 2007
| The first 150 words of the full text of this article appear below. |
Rapidly destructive arthrosis of the hip joint (RDA) is commonly seen in elderly females with unilateral involvement, which has been reported to occur in a joint that initially appears normal.1–3 We describe a case of osteoarthritis, which underwent rapid destruction of the hip joint over a period of 2 months.
A 62-year-old woman presented with mild left hip pain of recent onset. Her height was 157 cm and body weight was 49 kg. Her body mass index indicated she was in the normal range (19.9 kg/m2). No evidence of infection, inflammatory arthropathies or neuropathy was noted. She had a history of Hashimoto disease, asthma and hypercholesterolaemia, but had no history of oral corticosteroid intake or alcohol abuse. Investigations were done at the Departments of Orthopaedic Pathology and Radiology, Hospital for Special Surgery, New York (USA).
Radiographs obtained at the first visit demonstrated slight joint space narrowing that was consistent
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