Rapidly Destructive Coxopathy With Femoral Head Fracture That Is Similar to a Slipped Capital Femoral Epiphysis in an Elderly Woman: A Case Report

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2022 Mar 14

PMID 35282548

Authors

Takanori Miura

Hiroaki Kijima

Toshihito Ebina

Takayuki Tani

Naohisa Miyakoshi

Affiliations

Soon will be listed here.

Abstract

Slipped capital femoral epiphysis (SCFE) generally occurs in adolescents but rarely in adults. Rapidly destructive coxopathy (RDC) is characterized by rapid joint destruction, including disruption of the joint at the femoral head and acetabulum as well as reduction of the joint space, within six to 12 months. The mechanism of RDC is likely multifactorial but has not yet been identified. Moreover, there are no reports of displaced femoral head fractures similar to an SCFE associated with RDC. We report a rare case of RDC with femoral head fracture that is similar to SCFE in an 86-year-old woman. Although the exact cause of the femoral head fracture is unknown, it can develop into RDC. Awareness of orthopedic surgeons regarding this condition is crucial for appropriate treatment, by monitoring the presentation of symptoms and imaging/radiographic findings.

Citing Articles

Femoral neck fracture after femoral head necrosis: a case report and review of the literature.

Xia W, Zhang A, Qiu B, Chen Y, Kong M BMC Musculoskelet Disord. 2023; 24(1):853.

PMID: 37907913 PMC: 10617074. DOI: 10.1186/s12891-023-06992-9.

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