[Report of a case of hip arthropathy]

The tabetic arthopathies [AT] belong to the neuropathic arthropathies, and are currently rare. The localization in the hip occupies the third place after that of the knee and the foot. We present a case. It is about a 52 years old patient, hospitalized for a painless left chronic coxopathy, revealed by a heaviness, boitery and shortening of the left lower limb. The clinical examination had noted a conservation of the amplitudes of the left hip with luxation of the left femoral head which is preceived in the external iliaque pit as well as an abolition of the osteotendineux reflexes of the lower limbs and a positive sign of Argyll Robertson. Standard radiographies had shown a destruction of the left femoral head and cotyle with posterior luxation of the higher end of the femur. Syphilitic serology was positive in blood and the cephalospinal liquid. Through this observation and a review of the literature, we remind the various clinico-radiological aspects and the therapeutic difficulties of the tabetic arthropathies in particular the localization to the hip. While insisting on the interest of the prevention and the early treatment of syphilis avoiding the late installation of articular and neurological complications

[Echinococcosis from Iliac bone [about one case]]

The bony localizations of hydatic desease are less frequent. We have one observation of hydatidosis of the hipbone in a patient of 44 years old, who presented a chronic right coxopathy, in a context of fever, nocturnal sweats and weakening. The VS was accelerated to 50 mm. The NFS was normal and hydatic serology was negative. Standard x-ray showed a moth-eaten aspect of the -fight ilium, calcifications of the adjacent soft part as well as a global-pinch of the right coxofemoral spacing with osteophytesesosteophyteses. the pelvic TDM found out a lyse extension of the right iliac wing to the cotyle, bony sequesters, endo and exopelvic liquid collections. Echoguided puncture had extracted the pus, the bac-teriological exam [germs + BK banals] of which was negative. It is the surgical exploration with histologic study that allowed to put the diagnosis of bony echinococcosis. The bony hydatidosis puts .1 diagnostic problem but especially therapeutic: the effectiveness of the medical treatment is controversial and the anatomical conditions of the pelvis don't help the radical surgery and expose to the risk of recidivism