We report a case of tuberculous arthritis of the hip in a 22 year old male patient, treated with arthrotomy and antituberculous antibiotic therapy for 9 months; the joint deteriorated and 2 years later he underwent uncemented total hip arthroplasty. He received antibiotic therapy for 3 months preoperatively and for 6 months postoperatively. At 5 year follow-up there was no evidence of recurrent infection.
We report four cases of transient hip osteoporosis studied between 1995 and 1997. All patients were men. The diagnosis was based on clinical symptoms, absence of abnormal laboratory tests, increased uptake in the femoral head and neck on Tc-99 bone scans and magnetic resonance imaging showing Oedema of the bone marrow. In three patients radiographs showed osteopenia of the head and neck of the involved femur, whereas no major radiographic changes were seen in the fourth patient. The clinical symptoms lasted 7 months and there was no recurrence after 8-24 months' follow-up.Résumé Quatre cas d' Ostéoporose Transitoire de la Hanche ont été étudiés entre 1995 et 1997. Le diagnostic a été retenu sur des arguments cliniques, l'absence d'anomalies dans les analyses et l'existence d'une hypercaptation gammagraphique homogène à la tête et au col du fémur ainsi que sur un patron d'oedème de la moelle osseuse en Résonance Magnétique. Dans un cas, la radiologie conventionelle a été normale pendant tout le processus tandis que les trois autres cas ont présenté une ostéoporose radiologique depuis la tête du fémur jusqu'à la zone trochantérienne. La dureé de la symptomatologie a été de 7 mois. Il ne s'est pas produit de récurrence locale après un suivi de 8-24 mois.
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