Atraumatic posterior dislocation of the native hip: an unusual presentation of septic arthritis.
We present a case of chronic posterior hip dislocation after severe joint destruction following septic arthritis. In the absence of trauma, infection must be considered in the differential diagnosis of a dislocated joint particularly in patients with risk factors such as intravenous drug abuse and immune compromise. Excision arthroplasty of the hip was performed with good pain relief and functional outcomes. This is an excellent temporary or permanent solution in managing such complex cases although alternative management options are discussed.
Department of Trauma and Orthopaedic Surgery, Charing Cross Hospital, Imperial College Healthcare Trust, Fulham Palace Road, London, W6 8RF, UK, niravpatel@doctors.org.uk.
N K
NK
Patel
J
J
Windley
S
S
Naique
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D001178:Arthroplasty; D002443:Ceftriaxone / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D003646:Debridement; D005436:Floxacillin / Q000627:therapeutic use; D006556:Heroin Dependence / Q000150:complications / Q000534:rehabilitation; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use; D008875:Middle Aged; D058850:Opiate Substitution Treatment; D010019:Osteomyelitis / Q000188:drug therapy / Q000209:etiology; D011859:Radiography; D013203:Staphylococcal Infections / Q000150:complications* / Q000188:drug therapy; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000534:rehabilitation
D000900:Anti-Bacterial Agents; D002981:Clindamycin; D005436:Floxacillin; D002443:Ceftriaxone; D008691:Methadone