Artrosis rápidamente progresiva de cadera secundaria a una fractura por insuficiencia subcondral del acetábulo: Reporte de un caso

• Carlos Martín Lucero ^[1] ; Fernando Díaz Dilernia ^[1] ; Gerardo Zanotti ^[1] ; Fernando Comba ^[1] ; Francisco Piccaluga ^[1] ; Martín Buttaro ^[1]
  1. [1] Hospital Italiano de Buenos Aires

     Hospital Italiano de Buenos Aires

     Argentina

     
• Localización: Revista de la Asociación Argentina de Ortopedia y Traumatología, ISSN 1852-7434, Vol. 86, Nº. 2, 2021, págs. 228-234
• Idioma: español
• DOI: 10.15417/issn.1852-7434.2021.86.2.1090
• Títulos paralelos:
  • Rapidly Progressive Osteoarthritis of the Hip secondary to a subchondral Insufficiency Fracture of the Acetabulum: A Case Report
• Enlaces
  • Texto completo  1    2  
• Resumen
  • español

    Las fracturas por insuficiencia subcondral son una causa poco frecuente de cadera dolorosa. A diferencia de las fracturas traumáticas agudas, las fracturas por insuficiencia del acetábulo son menos frecuentes que las femorales. Ocurren habitualmente en mujeres posmenopáusicas con comorbilidades. Su diagnóstico inicial suele ser dificultoso y la sospecha clínica es de gran importancia. La resonancia magnética es una herramienta fundamental para detectar este cuadro. Subestimar estas lesiones puede llevar al desarrollo de una artrosis rápidamente progresiva y al reemplazo articular como desenlace. Se presenta el caso de una paciente de 68 años con una fractura por insuficiencia subcondral del acetábulo a quien se le indicó una artroplastia total de cadera no cementada.

  • English

    Subchondral insufficiency fractures are a rare cause of hip pain. Unlike acute traumatic fractures, acetabulum insufficiency frac-tures are less common than femoral fractures. They commonly occur in postmenopausal women with comorbidities. Its initial diagnosis is usually difficult and clinical suspicion is of great importance. Magnetic resonance imaging (MRI) is a fundamental tool for the detection of this pathology. Underestimating these injuries can lead to the development of rapidly progressive osteoarthritis and joint replacement as an outcome. We present the case of a 68-year-old patient with a subchondral insufficiency fracture of the acetabulum who underwent uncemented total hip arthroplasty.

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