Newsletter
Language
Language:
 
News
Archival Issues
Volume 18, 2016
Volume 17, 2015
Volume 16, 2014
Volume 15, 2013
Volume 14, 2012
Volume 13, 2011
Volume 12, 2010
Volume 11, 2009
Volume 10, 2008
Volume 9, 2007
Volume 8, 2006
Volume 7, 2005
Volume 6, 2004
Volume 5, 2003
Volume 4, 2002
Volume 3, 2001
Volume 2, 2000
Volume 1, 1999
Search
 » 
Journal Abstract
 
Deceptive low back pain and pseudoradicular signs in avascular necrosis of the femoral head
Krzysztof Modrzewski, Jacek Gągała
Ortop Traumatol Rehabil 2004; 6(5):613-617
ICID: 15742
Article type: Original article
IC™ Value: 5.84
Abstract provided by Publisher
 
Background. Deceptive low back and buttock pain, especially at night, is often the main subjective symptom in necrosis of the femoral head. During this period, limitations of the final phase of the range of hip movement (especially inward rotation and abduction) constitute an objective symptom. Careful examination of both hip joints typically reveals asymmetry in the range of movement. Scintigraphy is decisive for the diagnosis. The real source of the pain is in the hip, but their common location in the lumbosacral area and the buttocks often leads to mistaken diagnosis.
Material and methods. In the Orthopedics, Traumatology and Rehabilitation Clinic in Lublin 86 patients (41 women, 45 men), ranging in age from 19 to 69 years (mean age 42) were treated for necrosis of the femoral head (116 hips). Disturbances of blood supply to both femoral heads were found in 30 cases.
Results. Ineffective treatment of 18 patients (20.9%) by neurologists and neurosurgeons, who performed unnecessary discectomies in 4 patients, delayed diagnosis of necrosis in 26 femoral heads (22%). The errors were discovered only in the third or fourth phases of the disease, when the only effective remaining treatment is hip arthroplasty.
Conclusions. In patients with low back and buttock pain, examination of the range of hip movement is indispensable. If even a slight limitation of the range of movement is detection, hip x-rays should be made in two projections. If there is suspicion of early radionegative disturbances of the blood supply to the femoral head, scintigraphy is decisive.

ICID 15742
PMID 17618211 - click here to show this article in PubMed
 
FULL TEXT 4045 KB


Related articles
  • in IndexCopernicus™
         errors and difficulties in diagnosis [1 related records]
         Low Back Pain [49 related records]
         avascular necrosis of femoral head [1 related records]
         Hip Joint [95 related records]

  • Related articlesin PubMed database
  • in PubMed database [ related records]


  •  

    Copyright © Ortopedia Traumatologia Rehabilitacja  2017
    Page created by Index Copernicus Ltd. All Rights reserved.