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Case Report

Rapid Destruction of the Femoral Head After a Single Intraarticular Injection of Corticosteroid into the Hip Joint

TAKUAKI YAMAMOTO, ROBERT SCHNEIDER, YUKIHIDE IWAMOTO, and PETER G. BULLOUGH

ABSTRACT.

We describe a 50-year-old woman who had a 10-year history of left groin pain. She experienced rapid collapse of the femoral head during a 3-month period after a single injection of corticosteroid into the hip joint, in which osteonecrosis was histologically observed. (J Rheumatol 2006;33:1701–4)

Key Indexing Terms:

HIP
CORTICOSTEROID
OSTEONECROSIS


From the Department of Orthopaedic Pathology and Department of Radiology, Hospital for Special Surgery, New York, New York, USA.

Supported in part by a grant from Japan Orthopaedics and Traumatology Foundation Inc. and a Grant from the Clinical Research Foundation (2004).

T. Yamamoto, MD, PhD; Y. Iwamoto, MD, PhD, Department of Orthopaedic Surgery, Kyushu University, Kyushu, Japan; R. Schneider, MD, Department of Radiology; P.G. Bullough, MB, ChB, Department of Laboratory Medicine, Hospital for Special Surgery.

Address reprint requests to Dr. P.G. Bullough, Department of Laboratory Medicine, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021. E-mail: bulloughp@hss.edu

Accepted for publication February 22, 2006.




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