Bilateral rapidly progressive osteoarthritis of the hip: Case report and review

Abstract

Currently rapidly progressive osteoarthritis of the hip (RPOH) is an infrequent syndrome that compromises the femoral head and acetabulum described by Forestier in 1957. There is no standardized definition of the characteristics of this disease. Other diseases such as osteonecrosis or inflammatory and infectious arthropaties process may appear similar or present concurrently with osteoarthritis.Clinically it is characterized by hip pain characterized by chondrolysis with massive destruction of the femoral head, with or without acetabular involvement. The associated radiographic changes normally occur within 12 months after the onset of symptoms.The reported incidence is 7.2 to 15.7%. The patient is frequently a woman and the involvement in the vast majority is unilateral. The etiology remains uncertain, but increasing attention in recent years suggesting subchondral fractures as a contributing factor to the development this disease.We described a case review of a male patient with the development of bilateral RPOH.