Rapidly destructive arthrosis of the hip joint

• Published in: Chinese medical journal 2013-08, Vol.126 (16), p.3195-3195
• Main Authors: Carli, Alparslan Bayram, Akarsu, Selim, Tekin, Levent, Kiralp, Mehmet Zeki
• Format: Article
• Language: English
• Subjects: Acetabulum - pathology; Aged; C-反应蛋白; Femur Head - pathology; Hip Joint - pathology; Humans; Male; 关节间隙; 前列腺癌; 实验室检查; 破坏性; 非甾体类抗炎药; 骨性关节炎; 髋关节
• ISSN: 0366-6999; 2542-5641
• DOI: 10.3760/cma.j.issn.0366-6999.20130707

To the editor：A 67-year-old man presented with left hip pain for the last one week.On detailed questioning,he declared that he had been under chemotherapy for prostate cancer for one year.His medical/family history was otherwise unremarkable.On physical examination,he had pain and mild limitation in his left hip joint.Radiographs demonstrated slight joint space narrowing and sclerosis,consistent with osteoarthritis.Laboratory tests including erythrocyte sedimentation rate and C-reactive protein were normal.No evidence of infection or inflammatory arthropathies was detected.He was given a non-steroidal anti-inflammatory drug.On the second visit （3 months later）,he needed to use a wheelchair.His complaints got worse and he could not walk.There was no history of trauma.Radiographs revealed severe collapse and destruction of the femoral head.The patient was consulted to the urology department;and as he was not considered to have any metastasis,he underwent hip arthroplasty.