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Girdlestone procedure for avascular necrosis of the hip in an intravenous drug user.

Maguire N, Robertson B, Henman P - J Surg Case Rep (2014)

Bottom Line: Rarely used nowadays, it was required in a young patient following discovery of avascular necrosis of the femoral head as a result of septic emboli from infective endocarditis in an intravenous drug user.This procedure was deemed necessary based on poor cardiac function and anaesthetic risk.During this case report we will discuss investigations performed, the procedure and post-procedure course.

View Article: PubMed Central - HTML - PubMed

Affiliation: Royal Victoria Hospital, Newcastle Upon Tyne, UK nicola.maguire@nth.nhs.uk.

No MeSH data available.


Related in: MedlinePlus

Pelvic X-ray showing joint space narrowing and collapse of the right hip.
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RJU039F1: Pelvic X-ray showing joint space narrowing and collapse of the right hip.

Mentions: At presentation the patient was afebrile and haemodynamically stable. He was assessed by both the medical and surgical teams at a district general hospital and commenced on intravenous metronidazole and flucloxacillin for a presumed groin abscess. On examination, a pansystolic murmur was heard across precordium with no peripheral stigmata of endocarditis and a discharging sinus in the right groin with a grossly limited range of movement of the right hip. Blood tests revealed a white cell count (WCC) of 7.1 (neutrophils 5.8) and C-reactive protein (CRP) of 146. A pelvic radiograph revealed evidence of degenerative change in the right hip (Fig. 1) and following review by the local orthopaedic team an MRI was carried out confirming avascular necrosis of the right femoral head with an associated collection (Fig. 2).Figure 1:


Girdlestone procedure for avascular necrosis of the hip in an intravenous drug user.

Maguire N, Robertson B, Henman P - J Surg Case Rep (2014)

Pelvic X-ray showing joint space narrowing and collapse of the right hip.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4126036&req=5

RJU039F1: Pelvic X-ray showing joint space narrowing and collapse of the right hip.
Mentions: At presentation the patient was afebrile and haemodynamically stable. He was assessed by both the medical and surgical teams at a district general hospital and commenced on intravenous metronidazole and flucloxacillin for a presumed groin abscess. On examination, a pansystolic murmur was heard across precordium with no peripheral stigmata of endocarditis and a discharging sinus in the right groin with a grossly limited range of movement of the right hip. Blood tests revealed a white cell count (WCC) of 7.1 (neutrophils 5.8) and C-reactive protein (CRP) of 146. A pelvic radiograph revealed evidence of degenerative change in the right hip (Fig. 1) and following review by the local orthopaedic team an MRI was carried out confirming avascular necrosis of the right femoral head with an associated collection (Fig. 2).Figure 1:

Bottom Line: Rarely used nowadays, it was required in a young patient following discovery of avascular necrosis of the femoral head as a result of septic emboli from infective endocarditis in an intravenous drug user.This procedure was deemed necessary based on poor cardiac function and anaesthetic risk.During this case report we will discuss investigations performed, the procedure and post-procedure course.

View Article: PubMed Central - HTML - PubMed

Affiliation: Royal Victoria Hospital, Newcastle Upon Tyne, UK nicola.maguire@nth.nhs.uk.

No MeSH data available.


Related in: MedlinePlus