If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. You will then receive an email that contains a secure link for resetting your password
If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password
Reprint Address: Ryan Borst, MD, Department of Emergency Medicine, Medstar Georgetown University Hospital, 3800 Reservoir Rd. NW, G-CCC Building, Washington, DC 20007
Affiliations
Department of Emergency Medicine, Medstar Georgetown University Hospital, Washington, DC
An 80-year-old woman presented to the Emergency Department (ED) complaining of atraumatic
hip pain and difficulty ambulating. The patient had longstanding pain issues; x-ray
studies performed 6 weeks prior to her ED visit demonstrated circumferential joint
space narrowing (Figure 1). She had received an intraarticular hip injection of triamcinolone 5 weeks prior,
to temporize for total hip arthroplasty, but developed worsening pain after brief
improvement in symptoms. On examination she was afebrile, with pain on range of motion
of her left hip, but normal strength, sensation, and distal pulses. Laboratory evaluation
was negative for leukocytosis; c-reactive protein was not elevated.
Figure 1Anteroposterior pelvis and lateral x-ray studies of the left hip 1 week prior to steroid
injection (6 weeks prior to emergency department visit).
