Severe potential consequences of delayed diagnosis in patients with hip claudication

Delayed diagnosis in patients with hip claudication can lead to severe consequences. We report on patients with ischaemic hip claudication which had primarily been attributed to coxarthrosis. One patient went through a variety of treatments including hip arthroplasty. The second patient had a life-t...

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Bibliographic Details
Published in:Archives of orthopaedic and trauma surgery 2002-12, Vol.122 (9-10), p.535-537
Main Authors: ENZLER, M. A, LEU, A. J, KLOTZ, H. P, STEIGER, U. J
Format: Article
Language:English
Subjects:
Aneurysms
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - diagnosis
Aortic aneurysms
Arthroplasty, Replacement, Hip - utilization
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Hip
Humans
Ischemia - diagnosis
Ischemia - etiology
Joint surgery
Male
Medical diagnosis
Medical sciences
Middle Aged
Osteoarthritis, Hip - diagnosis
Osteoarthritis, Hip - surgery
Pain - etiology
Patients
Unnecessary Procedures
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Summary:Delayed diagnosis in patients with hip claudication can lead to severe consequences. We report on patients with ischaemic hip claudication which had primarily been attributed to coxarthrosis. One patient went through a variety of treatments including hip arthroplasty. The second patient had a life-threatening abdominal aortic aneurysm (AAA) which remained undiagnosed. Orthopaedic surgeons should maintain a high degree of suspicion for vascular disease. Moreover, we strongly advocate that all men over 60 years old who seek medical advice for whatever reason should be screened once for AAA by ultrasonography.
ISSN:0936-8051
1434-3916
DOI:10.1007/s00402-002-0415-6