Osteoarthritis of the hips in hereditary multiple exostoses

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Osteoarthritis of the hips in hereditary multipleexostoses

Raju Vaishya a,*, Amit K. Agarwal b, Vipul Vijay c

a Professor, Senior Consultant, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi 110076, Indiab Consultant, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi 110076, Indiac Attending Consultant, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi 110076, India

a r t i c l e i n f o

Article history:

Received 6 February 2015

Accepted 9 February 2015

Available online xxx

Fig. 1 e Panel A: Bony swelling over both

secondaryosteoarthritis of thehip, Panel

* Corresponding author.E-mail address: raju.vaishya@gmail.com

http://dx.doi.org/10.1016/j.apme.2015.02.0140976-0016/Copyright © 2015, Indraprastha M

Please cite this article in press as: Vaishy(2015), http://dx.doi.org/10.1016/j.apme.2

about 15 cm in diameter, in both groin and painful restriction

of movements of both hips. There were similar multiple bony

neck and from the right pubis (Fig. 1Panel B, C). Hereditary

1. Image details

A 34 year old short statured man presented with complaints

of painful swellings in both groin (Fig. 1Panel A). These

swellings were present since childhood but recently

increased in size along with pain and stiffness of both the

hips. Examination revealed multiple bony hard swellings, of

Iliac regions (R > L), Pa

C: ReconstructedCT ima

(R. Vaishya).

edical Corporation Ltd. A

a R, et al., Osteoarthritis015.02.014

hard swellings present in right scapula, left proximal tibia

and bilateral distal femora. His sibling had similar asymp-

tomatic swellings all over the body. Radiographs revealed

large sessile osteochondromas arising from bilateral femoral

multiple exostoses is an autosomal dominant condition

associated with multiple osteochondromas which lead to

skeletal deformities, short stature, limb length discrepancy

etc. Acetabular and proximal femoral involvement is re-

ported in approximately 90% such cases and may result in

secondary osteoarthritis.

Conflicts of interest

All authors have none to declare.

nel B: Pelvic radiograph showing multiple exostoses and

geshowingmultiplebonyexostosesarising fromthepelvis.

ll rights reserved.

of the hips in hereditary multiple exostoses, Apollo Medicine

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