Haematoma of pectineus muscle after total hip arthroplasty

Abstract

The complications of total hip arthroplasty (THA) during the immediate postoperative period consist mainly in dislocation of the prosthesis, haematomas under antocoagulants, early infections, dismantling of osteotomy, neurological injury, heterotopic ossification and delayed restoration of the range of motion of the hip joint. We present here an infrequently described case of haematoma of the pectineus muscle following THA. Haematomas are not described in literature except in rare cases of compressive haematoma associated with neurological injury. In our case, the intraoperative blood losses were not particularly massive, there were no anticoagulation accident or postoperative trauma and no secondary deglobulinization. The question to be considered is that of a possible stretching of the pectineus during hip dislocation, and possibly during the surgical procedures for the implementation of the prosthesis with increased length, as it is the case here. Haematomas of the pectineus are probably underdiagnosed as they imitate other, more known, symptomatologies.

Pseudo-Pelvic Mass

“…5 Implants may fail for any of several physiologic reasons: loosening, infection, dislocation, or other patientrelated factors. [6][7][8] Common to all joint revisions is an assessment of existing bone quality, removal of the failed components, reconstruction of remaining bone and softtissue structures, and successfully fixing the new components to the bone. A revision of a hip replacement is generally more challenging than the initial operation, and the results of surgery and the durability of the revised hip replacement are less predictable than those of the primary operation.…”

Antikoagülan ilişkili abdominal hematomlarin: Klinik ve BT bulgulari

“…Pectineus and quadratus muscle hematomas are described in the literature as rare cases and are likely to be under-diagnosed because of their ability to imitate other more known acute abdominal emergencies (34). Our Spontaneous adrenal hematomas are rare, and the most common causes are coagulopathy, neonatal stress, underlying tumors, and idiopathic disease.…”