Bilateral rapidly destructive hip disease: a case report and literature review
Rapidly destructive hip disease (RDHD) is a rare syndrome marked by swift joint degeneration and substantial functional impairment, typically affecting a single hip joint. The occurrence of bilateral RDHD is exceptionally uncommon, highlighting the urgent need for further research into its pathogene...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1630171/full |
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| author | Yan Shen Yi Zhang Jing Fu Hang Pei Jiang Hua Bangjian He |
| author_facet | Yan Shen Yi Zhang Jing Fu Hang Pei Jiang Hua Bangjian He |
| author_sort | Yan Shen |
| collection | DOAJ |
| description | Rapidly destructive hip disease (RDHD) is a rare syndrome marked by swift joint degeneration and substantial functional impairment, typically affecting a single hip joint. The occurrence of bilateral RDHD is exceptionally uncommon, highlighting the urgent need for further research into its pathogenesis, pathological changes, and treatment strategies. We present the case of a 75-year-old female who developed significant bilateral hip mobility limitations and buttock pain 6 months after being diagnosed with mild bilateral hip osteoarthritis. Imaging revealed the disappearance of both femoral heads. After excluding contraindications, the patient successfully underwent left uncemented total hip arthroplasty (THA). Postoperative pathology confirmed the diagnosis, showing degeneration and focal necrosis. This case represents the first documented instance of favorable clinical outcomes following THA in bilateral RDHD. |
| format | Article |
| id | doaj-art-9f7e022046444ae99cd1963bf21fd121 |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-9f7e022046444ae99cd1963bf21fd1212025-08-20T03:36:38ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-08-011210.3389/fmed.2025.16301711630171Bilateral rapidly destructive hip disease: a case report and literature reviewYan Shen0Yi Zhang1Jing Fu2Hang Pei3Jiang Hua4Bangjian He5Huzhou Zhengbo Orthopedic Hospital, Huzhou, Zhejiang, ChinaZhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaDepartment of Stomatology, Xixi Hospital, Hangzhou, Zhejiang, ChinaZhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaRapidly destructive hip disease (RDHD) is a rare syndrome marked by swift joint degeneration and substantial functional impairment, typically affecting a single hip joint. The occurrence of bilateral RDHD is exceptionally uncommon, highlighting the urgent need for further research into its pathogenesis, pathological changes, and treatment strategies. We present the case of a 75-year-old female who developed significant bilateral hip mobility limitations and buttock pain 6 months after being diagnosed with mild bilateral hip osteoarthritis. Imaging revealed the disappearance of both femoral heads. After excluding contraindications, the patient successfully underwent left uncemented total hip arthroplasty (THA). Postoperative pathology confirmed the diagnosis, showing degeneration and focal necrosis. This case represents the first documented instance of favorable clinical outcomes following THA in bilateral RDHD.https://www.frontiersin.org/articles/10.3389/fmed.2025.1630171/fullbilateral rapidly destructive hip diseasetotal hip arthroplastyrheumatismcase reportliterature review |
| spellingShingle | Yan Shen Yi Zhang Jing Fu Hang Pei Jiang Hua Bangjian He Bilateral rapidly destructive hip disease: a case report and literature review Frontiers in Medicine bilateral rapidly destructive hip disease total hip arthroplasty rheumatism case report literature review |
| title | Bilateral rapidly destructive hip disease: a case report and literature review |
| title_full | Bilateral rapidly destructive hip disease: a case report and literature review |
| title_fullStr | Bilateral rapidly destructive hip disease: a case report and literature review |
| title_full_unstemmed | Bilateral rapidly destructive hip disease: a case report and literature review |
| title_short | Bilateral rapidly destructive hip disease: a case report and literature review |
| title_sort | bilateral rapidly destructive hip disease a case report and literature review |
| topic | bilateral rapidly destructive hip disease total hip arthroplasty rheumatism case report literature review |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1630171/full |
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