Lésion lytique périacétabulaire d'apparition rapide: un indicatif d'un myélome multiple [Multiple myeloma as a cause of rapid acetabular osteolysis].
Details
Serval ID
serval:BIB_F8D49052F6D0
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Lésion lytique périacétabulaire d'apparition rapide: un indicatif d'un myélome multiple [Multiple myeloma as a cause of rapid acetabular osteolysis].
Journal
Revue Médicale Suisse
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
2007
Volume
3
Number
123
Pages
1968-1970
Language
french
Notes
Publication types: Case Reports ; English Abstract ; Journal ArticlePublication Status: ppublish
Abstract
Acetabular osteolysis is problem affecting long-term survival of total hip prosthesis.
CASE REPORT: a 71 year old man was operated in December 2005 with a total uncemented hip arthroplasty. Immediate evolution was favourable but at 4 months postoperatively he came with the complaints of left back pain irradiating in the left thigh. X-rays revealed the presence of a lytic lesion around the acetabulum with secondary dispalcement of the acetabular cup. Further investigations ruled out infection and confirmed the presence of multiple myeloma. The wear and shear particles of polyethylene or metal are the leading cause of reactive osteolysis in total hip arthroplasty, nevertheless multiple myeloma or metastatic lesions should be included in the differentail diagnosis.
CASE REPORT: a 71 year old man was operated in December 2005 with a total uncemented hip arthroplasty. Immediate evolution was favourable but at 4 months postoperatively he came with the complaints of left back pain irradiating in the left thigh. X-rays revealed the presence of a lytic lesion around the acetabulum with secondary dispalcement of the acetabular cup. Further investigations ruled out infection and confirmed the presence of multiple myeloma. The wear and shear particles of polyethylene or metal are the leading cause of reactive osteolysis in total hip arthroplasty, nevertheless multiple myeloma or metastatic lesions should be included in the differentail diagnosis.
Keywords
Acetabulum, Aged, Arthroplasty, Replacement, Hip, Humans, Male, Multiple Myeloma/complications, Multiple Myeloma/diagnosis, Osteolysis/etiology
Pubmed
Create date
23/09/2014 19:01
Last modification date
20/08/2019 16:24
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