ABSTRACT
Patients with severe COVID-19 can develop painful range-of-motion restrictions of large joints due to heterotopic ossification. We present the case of a patient who developed hip pain after prolonged admission for severe COVID-19 pneumonia. Conventional radiography, computed tomography and bone scan showed extensive heterotopic ossification in the hips. It is probable that both local and systemic factors contribute to the development of heterotopic ossifications and it is necessary to rule out this entity when these patients reported joint pain. Early diagnosis is important to provide non-pharmacological interventions such as mild passive mobilization and anti-inflammatory medication and in refractory cases surgical resection of the ectopic bone is consider.
Subject(s)
COVID-19 , Ossification, Heterotopic , Arthralgia , COVID-19/complications , Humans , Ossification, Heterotopic/diagnostic imaging , Ossification, Heterotopic/etiology , Pain , Radiography , Range of Motion, Articular , SARS-CoV-2ABSTRACT
A 34-year-old man with Klippel-Trenaunay syndrome (KTS) was performed three bone scintigraphies. The first one to evaluate the possibility of avascular necrosis of the femoral head. Secondly, to dismiss a reflex sympathetic dystrophy in the affected lower limb and finally, due to knee pain. Magnetic resonance of pelvis and knee and biopsy of iliac spine were performed too.
Subject(s)
Klippel-Trenaunay-Weber Syndrome/diagnostic imaging , Adult , Arthralgia/diagnostic imaging , Arthralgia/etiology , Chondromalacia Patellae/diagnostic imaging , Femur Head Necrosis/diagnostic imaging , Humans , Klippel-Trenaunay-Weber Syndrome/complications , Knee Joint/diagnostic imaging , Male , Pelvic Bones/diagnostic imaging , Radionuclide Imaging , Reflex Sympathetic Dystrophy/diagnostic imagingABSTRACT
Varón de 34 años diagnosticado de síndrome de Klippel-Trenaunay (SKT) al que se le realizan tres gammagrafías óseas (GO). En primer lugar para descartar necrosis avascular de cabeza femoral (NACF) derecha, la segunda para descartar distrofia simpaticorrefleja (DSR) del miembro inferior derecho y la tercera por dolor en rodilla homolateral. Se realizan además resonancia magnética nuclear (RMN) de pelvis y rodilla, y biopsia de cresta ilíaca
A 34-year-old man with Klippel-Trenaunay syndrome (KTS)was performed three bone scintigraphys. The first one to evaluate the possibility of avascular necrosis of the femoral head. Secondly, to dismiss a reflex sympathetic dystrophy in the afected lower limb and finally, due to knee pain. Magnetic resonance of pelvis and knee and biopsy of iliac spine were performed too