EURORAD ESR

Case 13964

Girdlestone procedure in a septic hip

Author(s)
Satyam Veean, Susan Taylor D.O., Jasmin Locklin M.D., Yulia Melenevsky M.D.

1120 15th St
Augusta, GA 30912
USA
 
Patient
female, 43 year(s)
 
 
  • Figure 1
    AP view of right hip

    AP view of the hip 2 months prior to procedure shows circumferential joint space narrowing, right femoral-acetabular joint obliterated fat planes, eodema and gas in the soft tissues consistent with septic arthritis.

     
    Area of Interest: Emergency; Musculoskeletal bone; Musculoskeletal joint; Imaging Technique: Conventional radiography; Procedure: Stents; Special Focus: Arthritides; Infection; Oedema;
     
     
  • Figure 2
    Coronal T1 fluid-sensitive MR image of the pelvis

    Marked oedema of femoral head and neck with erosions, cortical loss, and contour deformity. Oedema is present in the right acetabulum with thinning of medial wall. There is femoroacetabular joint effusion and severe...

     
    Area of Interest: Musculoskeletal bone; Musculoskeletal joint; Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: History; Special Focus: Infection; Inflammation; Oedema;
     
     
  • Figure 3
    AP radiograph of the pelvis postoperatively

    AP radiograph of the pelvis postoperatively shows surgical resection of the femoral head and neck at the intertrochanteric level (Type III Girdlestone procedure). Surgical skin staples attest to recent surgical...

     
    Area of Interest: Musculoskeletal bone; Musculoskeletal joint; Musculoskeletal soft tissue; Imaging Technique: Conventional radiography; Procedure: Surgery; Special Focus: Arthritides;
     
     
AP view of the hip 2 months prior to procedure shows circumferential joint space narrowing, right femoral-acetabular joint obliterated fat planes, eodema and gas in the soft tissues consistent with septic arthritis.
 
Marked oedema of femoral head and neck with erosions, cortical loss, and contour deformity. Oedema is present in the right acetabulum with thinning of medial wall. There is femoroacetabular joint effusion and severe surrounding myositis.
 
AP radiograph of the pelvis postoperatively shows surgical resection of the femoral head and neck at the intertrochanteric level (Type III Girdlestone procedure). Surgical skin staples attest to recent surgical intervention.
 
 
 
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