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Báo cáo y học: "Treatment of stasis dermatitis using aminaphtone: An unusual case of persistent groin pain after total hip arthroplasty: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Treatment of stasis dermatitis using aminaphtone: An unusual case of persistent groin pain after total hip arthroplasty: a case report. | JOURNALOF MEDICAL L case reports An unusual case of persistent groin pain after total hip arthroplasty a case report Konala et al. BioMed Central Konala et al. Journal of Medical Case Reports 2011 5 67 http www.jmedicalcasereports.eom content 5 1 67 15 February 2011 Konala et al. Journal of Medical Case Reports 2011 5 67 http www.jmedicalcasereports.eom content 5 1 67 WV journalof medical l rCASE REPORTS CASE REPORT Open Access An unusual case of persistent groin pain after total hip arthroplasty a case report 12 1 2 12 Praveen Konala Thomas K Schaefer Farhad Iranpour Niklaus F Friederich Michael T Hirschmann Abstract Introduction Arthroplasty is a well-established routine elective surgical procedure in orthopaedics. To a great extent diagnosis treatment and post-operative rehabilitation in these patients is standardised. In a busy clinic surgeons from time to time tend to focus their attention on common causes of joint pain but it may lead them to overlook sinister but less common pathologies. Here we report a case of a patient with groin pain due to pre-operatively undetected pelvic metastases from a pyeloureteral carcinoma who underwent total hip arthroplasty. There are several case reports which deal with primary or secondary tumours which were either discovered at the time of replacement surgery or developed at the site of prosthesis years after total hip or knee replacement. To the best of our knowledge this is the first case report in which a metastatic cancer was missed pre-operatively and intra-operatively both by the radiologist and by the orthopaedic surgeon and should be reported so that surgeons are reminded to be careful when dealing with seemingly routine cases. Case presentation A 79-year-old Caucasian woman presented to the arthroplasty clinic with groin pain. Initial radiographs showed subtle bilateral abnormalities in the pelvis. Neither the radiologist nor the orthopaedic surgeon recognized it. A diagnosis of osteoarthritis of the hip was .