Pelvic bone hydatidosis
Summary Bone hydatid disease is a rare pathology, characterized by its long clinical latency, the absence of radiological specificity as well as its challenging surgical treatment. We report an observation of pelvic bone hydatidosis in a 28-year-old patient, appearing with pain and stiffness of the...
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Published in | Orthopaedics & traumatology, surgery & research Vol. 96; no. 1; pp. 85 - 89 |
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01.02.2010
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Abstract | Summary Bone hydatid disease is a rare pathology, characterized by its long clinical latency, the absence of radiological specificity as well as its challenging surgical treatment. We report an observation of pelvic bone hydatidosis in a 28-year-old patient, appearing with pain and stiffness of the hip as well as a degenerative aspect on the coxofemoral joint on X-ray. The treatment consisted of an extensive hemipelvectomy with femoropelvic arthrodesis, completed by medical treatment. The functional result was excellent in spite of a break in the fixation material, which allowed a certain mobility at the proximal end of the femur. Hydatid disease of bone is infiltrating, diffuse, slow, and progressive, all characteristics explaining the often-delayed diagnosis. Medical imaging provides accurate analysis for planning a broad surgical resection. The quality of surgical resection is determined according to the risk of recurrence. Pelvic locations are particularly difficult to treat. After an enlarged and difficult surgical resection, reconstruction remains aleatory and poses many technical problems. |
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AbstractList | Summary Bone hydatid disease is a rare pathology, characterized by its long clinical latency, the absence of radiological specificity as well as its challenging surgical treatment. We report an observation of pelvic bone hydatidosis in a 28-year-old patient, appearing with pain and stiffness of the hip as well as a degenerative aspect on the coxofemoral joint on X-ray. The treatment consisted of an extensive hemipelvectomy with femoropelvic arthrodesis, completed by medical treatment. The functional result was excellent in spite of a break in the fixation material, which allowed a certain mobility at the proximal end of the femur. Hydatid disease of bone is infiltrating, diffuse, slow, and progressive, all characteristics explaining the often-delayed diagnosis. Medical imaging provides accurate analysis for planning a broad surgical resection. The quality of surgical resection is determined according to the risk of recurrence. Pelvic locations are particularly difficult to treat. After an enlarged and difficult surgical resection, reconstruction remains aleatory and poses many technical problems. Bone hydatid disease is a rare pathology, characterized by its long clinical latency, the absence of radiological specificity as well as its challenging surgical treatment. We report an observation of pelvic bone hydatidosis in a 28-year-old patient, appearing with pain and stiffness of the hip as well as a degenerative aspect on the coxofemoral joint on X-ray. The treatment consisted of an extensive hemipelvectomy with femoro pelvic arthrodesis, completed by medical treatment. The functional result was excellent in spite of a break in the fixation material, which allowed a certain mobility at the proximal end of the femur. Hydatid disease of bone is infiltrating,diffuse, slow, and progressive, all characteristics explaining the often-delayed diagnosis. Medical imaging provides accurate analysis for planning a broad surgical resection. The quality of surgical resection is determined according to the risk of recurrence. Pelvic locations are particularly difficult to treat. After an enlarged and difficult surgical resection, reconstruction remains aleatory and poses many technical problems. Bone hydatid disease is a rare pathology, characterized by its long clinical latency, the absence of radiological specificity as well as its challenging surgical treatment. We report an observation of pelvic bone hydatidosis in a 28-year-old patient, appearing with pain and stiffness of the hip as well as a degenerative aspect on the coxofemoral joint on X-ray. The treatment consisted of an extensive hemipelvectomy with femoropelvic arthrodesis, completed by medical treatment. The functional result was excellent in spite of a break in the fixation material, which allowed a certain mobility at the proximal end of the femur. Hydatid disease of bone is infiltrating, diffuse, slow, and progressive, all characteristics explaining the often-delayed diagnosis. Medical imaging provides accurate analysis for planning a broad surgical resection. The quality of surgical resection is determined according to the risk of recurrence. Pelvic locations are particularly difficult to treat. After an enlarged and difficult surgical resection, reconstruction remains aleatory and poses many technical problems. |
Author | Trigui, M Zribi, W Ellouze, Z Bouzidi, R Ayedi, K Gdoura, F Keskes, H |
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Cites_doi | 10.1016/S0748-7983(97)93173-5 10.1016/j.medmal.2005.10.002 10.1128/CMR.17.1.107-135.2004 10.1046/j.1440-1673.2002.t01-1-01099.x 10.1007/s00402-002-0461-0 10.1016/S1169-8330(02)00384-8 10.1016/S1297-319X(03)00039-3 10.1093/rheumatology/36.1.133 10.1016/j.revmed.2006.12.011 |
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Keywords | Bone hydatid disease Pelvis Bone resection Hip arthrodesis |
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Snippet | Summary Bone hydatid disease is a rare pathology, characterized by its long clinical latency, the absence of radiological specificity as well as its... Bone hydatid disease is a rare pathology, characterized by its long clinical latency, the absence of radiological specificity as well as its challenging... |
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SubjectTerms | Adult Albendazole - therapeutic use Anthelmintics - therapeutic use Arthrodesis - methods Bone Diseases - diagnosis Bone Diseases - drug therapy Bone Diseases - parasitology Bone Diseases - surgery Bone hydatid disease Bone resection Bone Screws Combined Modality Therapy Diagnosis, Differential Echinococcosis - diagnosis Echinococcosis - drug therapy Echinococcosis - surgery Hip arthrodesis Humans Magnetic Resonance Imaging Male Orthopedics Pelvis Reoperation Surgery Tomography, X-Ray Computed |
Title | Pelvic bone hydatidosis |
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