We present a case of polyarticular septic arthritis associated with radiotherapy to the pelvis. This led to rapid bilateral destruction of the hip joints. Post-irradiation osteonecrosis of the femoral head is rare with only six cases reported in the literature since 1970. The femoral head, with its tenuous blood supply, is susceptible to necrosis if its microvasculature is damaged by radiation,...

Complications following knee and hip arthroplasty surgery are not uncommon, with features of pain, erythema, warmth and an effusion strongly suggestive of an underlying infective process. Managing septic arthritis in the setting of a prosthetic joint usually requires complex and invasive surgery. A diagnosis of peri-prosthetic crystal arthropathy is often overlooked, however over the last three...

Intra-articular epiphyses are at risk in septic arthritis and severe epiphyseal damage is commonly seen in the hip, particularly in neonates and infants. In the first five years of life septic arthritis of the shoulder can also result in damage to the upper humeral epiphysis, but in the older child and young adult this is uncommon. Pathological displacement of the upper humeral epiphysis has no...

juvenile idiopathic arthritis is the leading cause of hip replacement in young children. however, arthroplasty in this population is challenging with several concerns about quality of the growing bone, young age for revision surgery, and difficulties in potential several revisions. in this study we introduce a case of a 12-year old who is one of the youngest patients to undergo revision hip art...

The aims of this study were to determine factors that cause a leg-length discrepancy (LLD) to the extent that correction is indicated after treatment in developmental dysplasia of the hip and determine whether the LLD may be treated with a percutaneous epiphysiodesis. Twelve children were included in this study. The factors which caused LLD were avascular necrosis, femoral shortening and varus ...

Scedosporium prolificans, also known as Scedosporium inflatum, is a fungus widespread in soil, sewage, and manure. This species is highly virulent and is an emerging opportunistic pathogen found in penetrating injuries in immunocompromised patients. Here we report on an immunocompetent patient with bilateral hip S. prolificans-associated osteomyelitis and septic arthritis caused by intentional ...

Ultrasonography (US) is a reliable and useful diagnostic tool for the assessment of hip pathology. It depicts changes within the coxo-femoral joint (synovitis, erosions, osteophytes) and in the adjacent peri-articular tissues (calcifications, tendonitis, enthesitis, bursitis) in many rheumatic diseases (rheumatoid arthritis, spondyloarthritis, osteoarthritis, polymyalgia rheumatica ) and in som...

Seronegative spondyloarthritis (SpA) and Ewing’s sarcoma (ES) are common disorders affecting young males. A great challenge is to diagnose both diseases in the same patient. Here we describe a case of a young male patient having SpA, who developed ES that presented as monoarthritis of left hip which was misdiagnosed twice; first as peripheral manifestation of SpA and second as septic arthritis;...

Objective: We investigated the clinical characteristics, treatment patterns and outcomes of community-acquired methicillin resistant Staphylococcus aureus (CA-MRSA) septic arthritis. Methods: This was a retrospective chart review of CA-MRSA septic arthritis in a tertiary care hospital from 2000-2013. We compared CA-MRSA septic arthritis cases with HA-MRSA septic arthritis cases to identify impo...