Figure - available from: Case Reports in Orthopedics
This content is subject to copyright. Terms and conditions apply.
Coronal cuts of CT scan shows bilateral acetabular dysplasia with dislocated left femoral head localized in the anterosuperior aspect of the acetabulum with development of pseudoacetabulum.
Source publication
We report a novel case of a pediatric patient with bilateral hip destruction from untreated Juvenile idiopathic arthritis (JIA). She was presented at the age of 9 with hip pain associated with bilateral acetabular dysplasia and a dislocated left femoral head. Only 1.5 years later, the patient developed complete destruction of the left femoral head...
Similar publications
![Figure 4: Immobilization after reduction of traumatic hip dislocation [26].](publication/341673808/figure/fig4/AS:895786028126213@1590583440270/Immobilization-after-reduction-of-traumatic-hip-dislocation-26_Q320.jpg)
Background
Historical papers on the treatment of congenital dislocation of the hip suggest the use of preliminary traction to facilitate closed reduction or to decrease the risk of avascular necrosis (AVN) of the femoral head. In the 1980s, some authors questioned the role of preliminary traction and suspended its use, yielding satisfactory results...
Citations
... Aguiar et al. [28] presented the case of a girl with structural damage in the hip which regressed under biological treatment. Calafi et al. [29] described a case of bilateral destructive hip disease in a girl who was not following any treatment and which conducted to complete destruction of the femoral head. Our patient presents structural damage in both hips which determined the ankylosis of the joints. ...
Introduction: Juvenile idiopathic arthritis (JIA) is the most common type of arthritis in children and teens. The inflammation of various joints causes pain. Early diagnosis and management of the patients, which include medication and rehabilitation therapies, can reduce the onset of complications. Despite the progress in managing this disease, there are cases which present severe complications. Material and Methods: A 13-year-old girl, diagnosed with JIA in a paediatric service in 2019, who is under treatment with Sulfasalzine since diagnosis, presented in the Paediatric Rehabilitation Centre of Băile 1 Mai with inflammatory pain in both knees, gait impairment with need of wheelchair, limited function in hands, elbows, shoulders, knees and hips which worsened in 2022, due to low compliance to the treatment and no check-up with a paediatric rheumatologist. She had 8 admissions in the Paediatric Rehabilitation Centre between October 2022 and July 2023. The examination reveals that there is a severe limitation of mobility in both hips and knees, the hands’ small joints, elbows and shoulders. Laboratory tests were conducted showing no inflammatory markers. The radiographic finds sustained the changes encountered at the clinical examination. During her admissions in the Paediatric Rehabilitation Centre, she underwent a complex rehabilitation program which consisted of kinetotherapy, hydrokinetotherapy, massage, occupational therapy and physical agents. The program was designed according to the needs and the disease activity. Pharmacological means were used for the management of pain. The results were limited and the ability of standing up and walking were not recovered. Conclusion: In conclusion, JIA is a complex disease, which needs an early diagnosis and an early management program, which comprises of pharmacological treatment, rehabilitation program. Teamwork is necessary for managing JIA cases. The lack of compliance, and inadequate medication can lead to disabling complications.
