Management of Pathologic Hip Fracture Secondary to Musculoskeletal Echinococcosis: A Case Report
Leonidas E Mastrokostas1, Paul G Mastrokostas2,1, Mitchell K Ng1
1Department of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, USA.
Abstract:
A 50-year-old female from Uzbekistan presented to our emergency department with severe right hip pain and loss of ambulation. Her history included multiple hepatic echinococcal cyst resections. After a fall, she underwent a proximal femur open reduction and internal fixation (ORIF) and revision in Uzbekistan, which revealed broken screws and cystic lesions. Subsequent treatment included hardware removal, proximal femur replacement, and antiparasitic therapy, leading to significant improvement. This case highlights the need for considering rare pathologies in atypical orthopedic presentations and demonstrates the effectiveness of integrating detailed history, careful diagnostics, and coordinated care to manage challenging conditions.
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