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KMID : 0948920110100020126
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Clinical Pain
2011 Volume.10 No. 2 p.126 ~ p.130
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A Case of Rapid Destructive Coxarthrosis Misdiagnosed as Deep Vein Thrombosis A Case Report-
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Hong Ji-Seong
Jung Chul-Oh
Jung Kang-Jae
Kim Dong-Hyun
Choi Jung-Hwa
Park Yoon-Ghil
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Abstract
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Rapidly destructive coxarthrosis of hip joint (RDA) is a rare condition characterized by rapid joint degeneration and destruction similar to findings of infection, osteonecrosis, or rhuematoid arthritis but without a definitive diagnosis. We report a case of RDA mis-diagnosed as deep vein thrombosis (DVT) in a 69-year-old male patient. He complained of left hip joint pain which became progressively worse. Moreover, within 2 months after onset of pain, joint space narrowing and destruction of femur head with swelling was rapidly progressed. Initially, He was diagnosed clinically as DVT related avascular necrosis (AVN). However, there was no evidence of DVT on computerized tomoraphy. He was treated by total hip replacement surgery. According to the literature and experience from this case, total hip arthroplasty at early stage of disease could be utilized as a treatment of choice due to the severity of the symptoms and the natural history.
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KEYWORD
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Rapidly destructive coxarthrosis, Deep vein thrombosis
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