Skip to main content

Advertisement

Log in

Rapidly destructive coxopathy after subchondral insufficiency fracture of the femoral head

  • Case Report
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Rapidly destructive coxopathy (RDC) is a rare disorder, and its pathophysiology is unknown. Here, we report a case of RDC evaluated by roentgenography and magnetic resonance imaging, from the onset of hip pain without changes on roentgenograms, to the terminal stage with collapse of the femoral head. Our serial radiological findings clearly illustrate the entire process of RDC, especially the initial stage. Subchondral insufficiency fracture of the femoral head seems to be an important preliminary event in the development of RDC.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

References

  1. Boutry N, Paul C, Leroy X, Fredoux D, Migaud H, Cotten A (2002) Rapidly destructive osteoarthritis of the hip: MRI findings. AJR 179:657–663

    PubMed  Google Scholar 

  2. Chosa E, Tajima N, Nagatsuru Y (1997) Evaluation of acetabular coverage of the femoral head with anteroposterior and false profile radiographs of hip joint. J Orthop Sci 2:378–390

    Google Scholar 

  3. Hagino H, Okano T, Teshima R, Nishi T, Yamamoto K (1999) Insufficiency fracture of the femoral head in patients with severe osteoporosis-report of 2 cases. Acta Orthop Scand 70:87–89

    Google Scholar 

  4. Komiya S, Inoue A, Sasaguri Y, Minamitani K, Morimatsu M (1992) Rapidly destructive arthropathy of the hip Studies on bone resorptive factors in joint fluid with a theory of pathogenesis. Clin Orthop 284:273–282

    PubMed  Google Scholar 

  5. Lawrance JA, Athanasou NA (1995) Rapidly destructive hip disease. Skeletal Radiol 24:639–641

    Article  CAS  PubMed  Google Scholar 

  6. Masuhara K, Nakai T, Yamaguchi K, Yamasaki S, Sasaguri Y (2002) Significant increases in serum and plasma concentrations of matrix metalloproteinases 3 and 9 in patients with rapidly destructive osteoarthritis of the hip. Arthritis Rheum 46:2625–2631

    Article  CAS  PubMed  Google Scholar 

  7. Offierski CM, Macnab I (1983) Hip-spine syndrome. Spine 8:316–321

    CAS  PubMed  Google Scholar 

  8. Postel M, Kerboull M (1970) Total prosthetic replacement in rapidly destructive arthrosis of the hip joint. Clin Orthop 72:138–144

    CAS  PubMed  Google Scholar 

  9. Rafii M, Mitnick H, Klug J, Firooznia H (1997) Insufficiency fracture of the femoral head: MRI in three patients. AJR 168:159–163

    CAS  PubMed  Google Scholar 

  10. Sugano N, Ohzono K, Nishii T, Sakai T, Haraguchi K, Yoshikawa H, Kubo T (2001) Early MRI findings of rapidly destructive coxopathy. Magn Reson Imaging 19:47–50

    Article  CAS  PubMed  Google Scholar 

  11. Watanabe W, Itoi E, Yamada S (2002) Early MRI findings of rapidly destructive coxarthrosis. Skeletal Radiol 31:35–38

    Article  PubMed  Google Scholar 

  12. Watanabe W, Sato K, Itoi E, Yang K, Watanabe H (2002) Posterior pelvic tilt in patients with decreased lumbar lordosis decreases acetabular femoral head covering. Orthopedics 25:321–324

    PubMed  Google Scholar 

  13. Yamamoto T, Bullough PG (2000) The role of subchondral insufficiency fracture in rapid destruction of the hip joint. Arthritis Rheum 43:2423–2427

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Masahiro Hasegawa.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Niimi, R., Hasegawa, M., Sudo, A. et al. Rapidly destructive coxopathy after subchondral insufficiency fracture of the femoral head. Arch Orthop Trauma Surg 125, 410–413 (2005). https://doi.org/10.1007/s00402-005-0831-5

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-005-0831-5

Keywords

Navigation