Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: General Orthopaedics
Abstract number: 25818
MONOARTICULAR PSEUDOGOUT OF HIP PRESENTING AS SEPTIC
ARTHRITIS - A CASE REPORT
Sudiptomohan MUKHOPADHYAY, A GUHA, A PERERA
University Hospital of Wales, Cardiff (UNITED KINGDOM)
Objectives: Calcium pyrophospate dihydrate (CPPD) disease is the second most
common crystal-induced form of arthropathy. CPPD disease usually presents as
polyarthritis with the most common joints involved being the knee, shoulder, wrist,
elbow, and ankle. Rarely, the small joints of the hands and feet can be affected. The
heterogenous presentation of CPPD disorders has led to its classification into seven
subgroups. We present a case of monoarticular pseudogout of the hip joint
presenting as septic arthritis which has not been previously reported in the English
literature. Case report:An 89 year old gentleman presented with acute onset severe
hip pain, inability to weight bear, raised body temperature and raised CRP of 315.
Hip aspiration revealed calcium pyrophosphate crystals and cultures of the sample
did no grow any organism. Patient started to mobilise gradually within seven days
with analgesics and recovered completely. Conclusion: In case of acute presentation
with painful limitation of all hip joint movements and local tenderness in elderly
patients, septic arthritis should be excluded first. Aspiration of the hip should be
attempted before any surgical intervention is undertaken to exclude other causes.
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