Multicentric Disappearing Bone Disease treated with Arthroplasty
- Author:
Chan CK
;
Mohamed Razif-MA
;
Azlina AA
;
Azhar MM
- Publication Type:Case Reports
- Keywords:
Disappearing bone disease;
arthroplasty;
Gorham Disease
- MeSH:
Osteolysis, Essential
- From:Malaysian Orthopaedic Journal
2016;10(3):42-45
- CountryMalaysia
- Language:English
-
Abstract:
Multicentric disappearing bone disease, or Gorham disease,
is a rare entity. A middle age woman, presented to us with left
sided antalgic gait and severe bony deformity of her left
knee. Radiograph revealed massive bone defect of the
medial condyle of the left tibia with subluxation of the knee
joint. She was scheduled for knee replacement in six months.
However, she developed another lesion over the right hip
that typically mimicked the disease progression of
disappearing bone disease. The right femoral head vanished
progressively within three months without significant history
of infection or trauma. Subsequent bone biopsy of the right
femoral head and left tibia condyle confirmed the diagnosis.
Total knee replacement was carried out for her left knee. She
remained pain free on her left knee. A year later, after
confirming by sequential radiographs that the osteolysis had
stopped, total right hip replacement was performed. Five
years later, she remained pain free and both the arthroplasties
were stable.
- Full text:P020170109348320867115.pdf
