Hydatidosis of the hip

Hydatid disease is particularly serious in thigh loction. Latency stage extends over a prolonged period and diagnosis is not made at a sufficiently early stage.Disease is progressive and invading, with destruction of bone tissue. Bone has no defense, is destroyed ...

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Detalles Bibliográficos
Autores: Sanjurjo, Liber Mauro, Pavón Davila, Raúl
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:1973
País:Uruguay
Institución:Sociedad de Cirugía del Uruguay
Repositorio:Revista Cirugía del Uruguay
Idioma:español
OAI Identifier:oai:ojs2.revista.scu.org.uy:article/2497
Acceso en línea:https://revista.scu.org.uy/index.php/cir_urug/article/view/2497
Access Level:acceso abierto
Palabra clave:quiste hidático
cadera
hydatid cyst
hip
Descripción
Sumario:Hydatid disease is particularly serious in thigh loction. Latency stage extends over a prolonged period and diagnosis is not made at a sufficiently early stage.Disease is progressive and invading, with destruction of bone tissue. Bone has no defense, is destroyed and passive. to parasite injury. Diagnosis is based onbiolo;ical reactions. When X-rayed, lesions appear as areas of bone destruction, fil!ing defects or geodic images or "motheaten bone". This geodic osteosis process varies inextent and has no precise limits; there is no limiting reactional osteogenesis. Shape of bone is generally preserved. In exceptional cases bone may have a "deep fissure".There is bipolar geodic osteosis not affecting the joint and hydatid osteoarthritis in advanced forms. Eleven cases were studied: 8 men and 3 women. Lesions were locally malign and demanded early and radical treatment. This comprises two basic aspects: biological and surgical. Use of 33 o sodium chloride saturated solution, as proposed by Velarde Pérez, has become general and complements surgery. If located in cervical epiphysis of femur, Girlsdestone's operation makes total resection of lesion possible. Pelvian sector topography, involving cotyloid cavity (acetabulum). requires hemipelvectomy with partial resection of ilio-ischio-pubic sector; Limb may be preserved or not. This technique has been described byDr. Guglielmone.