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Rapid destructive osteoarthritis: clinical, radiographic, and pathologic features
Z S Rosenberg1, S Shankman, G C Steiner
1Department of Radiology, Hospital for Joint Diseases/Orthopaedic Institute, New York, NY 10003.
Radiology
|January 1, 1992
Summary
This study describes a rare form of rapidly destructive hip osteoarthritis in 27 patients, primarily elderly women. The condition mimics other joint diseases but is confirmed as osteoarthritis upon examination.
Area of Science:
- Orthopedics
- Rheumatology
- Pathology
Background:
- Unusual hip arthropathy presents with rapid, severe joint destruction.
- Radiographic findings can be misdiagnosed as septic or inflammatory arthritis, osteonecrosis, or neuropathic osteoarthropathy.
Purpose of the Study:
- To present and characterize 27 cases of a poorly recognized, rapidly destructive hip arthropathy.
- To differentiate this condition from other hip joint disorders.
Main Methods:
- Retrospective review of 27 patients with destructive hip arthropathy.
- Clinical, radiographic, and pathological examination of all cases.
- Hip arthroplasty in all patients with pathological confirmation of osteoarthritis.
Main Results:
- 27 cases of rapidly destructive hip arthropathy were identified.
- Osteoarthritis was confirmed pathologically in all patients post-hip arthroplasty.
- Consistent rapid progression of hip pain and disability over an average of 1.4 years.
- 89% unilateral involvement, 83% elderly women.
Conclusions:
- The presented cases likely represent an uncommon, rapidly destructive subset of osteoarthritis.
- This entity should be considered in the differential diagnosis of rapid hip joint destruction, especially in elderly women.