Lege Artis Medicinae

[The role of ultrasonography in the detection of hip joint pseudoarthrosis infection]

FÖLDES Károly1, BÁLINT Péter1, LAKATOS Tamás1, BÁLINT Géza1

NOVEMBER 30, 1993

Lege Artis Medicinae - 1993;3(11)

[In the background of rest pain in pseudoarthrosis of the hip there may be synovitis of the pseudojoint, which can be infected as well. The author's aim was to examine what sort of help ultrasound can provide in clearing of the cause of rest pain occuring in pseudoarthrosis besides the other classical imaging methods. 14 patients undergone resection arthroplasty of the hip complaining of rest pain and 12 control subjects were examined. All of them had pelvic X ray and ultrasound examination of the pseudojoint. In two cases primer, in 24 cases secunder pseudoarthrosis had been formed. In the patient group with rest pain in 12 cases synovitis was detected by ultrasound and in 2 cases of the control group. Aspiration of the pseudo arthrosis was performed in 12 cases and in 8 of them synovial fluid was obtained. Two of them were infected originally. Synovitis was proved by arthrography in 4 cases. Ultrasound can help in the detection of synovitis of pseudojoint in patients under gone resection arthroplasty and therefore can help in making diagnosis of the infection and making decision of the therapeutic approach. ]

AFFILIATIONS

  1. Országos Reumatológiai és Fizioterápiás Intézet Budapest

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