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Osteomyelitis of Bilateral Femoral Heads After Childbirth: A Case Report.

Lee KS, Kong S, Kim J, Kim T, Choi CB, Kim YS, Lee KH - Ann Rehabil Med (2015)

Bottom Line: The patient described in this case suffered from severe hip pain after childbirth.The patient's clinical symptoms and laboratory findings improved with antibiotic therapy.However, limitation of motion of the bilateral hip joints persisted although the patient continued rehabilitative therapy for 15 months, and the patient had to undergo bilateral total hip replacement.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation Medicine, Hanyang University Medical Center, Hanyang University College of Medicine, Seoul, Korea.

ABSTRACT
Hip and pelvic pain during pregnancy or after delivery is a common problem in young females, and in most cases this problem has a self-limiting course. The patient described in this case suffered from severe hip pain after childbirth. MR imaging study was performed and it showed arthritis of bilateral hip joints and osteomyelitis of femoral heads with an abscess in the surrounding muscle. Infection, such as septic arthritis or osteomyelitis, is an extremely rare cause of peripartum joint pain. The patient's clinical symptoms and laboratory findings improved with antibiotic therapy. However, limitation of motion of the bilateral hip joints persisted although the patient continued rehabilitative therapy for 15 months, and the patient had to undergo bilateral total hip replacement. Hereby, we present a case of severe osteomyelitis and pyogenic arthritis of bilateral femoral heads and hip joints after delivery, which eventually required bilateral total hip replacement.

No MeSH data available.


Related in: MedlinePlus

A radiograph of the hips shows sclerotic changes with flattening of the bilateral femoral heads and joint space narrowing.
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Figure 4: A radiograph of the hips shows sclerotic changes with flattening of the bilateral femoral heads and joint space narrowing.

Mentions: Although she continued physical therapy and intermittent pain medication for 12 months, LOM of both hip joints increased and it seriously interfered with her daily activities. The range of motion (ROM) of the hip joints was 10° of extension on the right side and 0° on the left side. Flexion was also limited to 90° on the right side and 80° on the left side. The ROM for abduction and adduction was 30° and 15° on the right side, and 25° and 0° on the left side. She could barely walk independently and was crutch-bound for most of the time in her daily life. Plain radiography of her hip joints revealed sclerotic changes with flattening of the bilateral femoral heads and joint space narrowing (Fig. 4).


Osteomyelitis of Bilateral Femoral Heads After Childbirth: A Case Report.

Lee KS, Kong S, Kim J, Kim T, Choi CB, Kim YS, Lee KH - Ann Rehabil Med (2015)

A radiograph of the hips shows sclerotic changes with flattening of the bilateral femoral heads and joint space narrowing.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4496524&req=5

Figure 4: A radiograph of the hips shows sclerotic changes with flattening of the bilateral femoral heads and joint space narrowing.
Mentions: Although she continued physical therapy and intermittent pain medication for 12 months, LOM of both hip joints increased and it seriously interfered with her daily activities. The range of motion (ROM) of the hip joints was 10° of extension on the right side and 0° on the left side. Flexion was also limited to 90° on the right side and 80° on the left side. The ROM for abduction and adduction was 30° and 15° on the right side, and 25° and 0° on the left side. She could barely walk independently and was crutch-bound for most of the time in her daily life. Plain radiography of her hip joints revealed sclerotic changes with flattening of the bilateral femoral heads and joint space narrowing (Fig. 4).

Bottom Line: The patient described in this case suffered from severe hip pain after childbirth.The patient's clinical symptoms and laboratory findings improved with antibiotic therapy.However, limitation of motion of the bilateral hip joints persisted although the patient continued rehabilitative therapy for 15 months, and the patient had to undergo bilateral total hip replacement.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation Medicine, Hanyang University Medical Center, Hanyang University College of Medicine, Seoul, Korea.

ABSTRACT
Hip and pelvic pain during pregnancy or after delivery is a common problem in young females, and in most cases this problem has a self-limiting course. The patient described in this case suffered from severe hip pain after childbirth. MR imaging study was performed and it showed arthritis of bilateral hip joints and osteomyelitis of femoral heads with an abscess in the surrounding muscle. Infection, such as septic arthritis or osteomyelitis, is an extremely rare cause of peripartum joint pain. The patient's clinical symptoms and laboratory findings improved with antibiotic therapy. However, limitation of motion of the bilateral hip joints persisted although the patient continued rehabilitative therapy for 15 months, and the patient had to undergo bilateral total hip replacement. Hereby, we present a case of severe osteomyelitis and pyogenic arthritis of bilateral femoral heads and hip joints after delivery, which eventually required bilateral total hip replacement.

No MeSH data available.


Related in: MedlinePlus