PMC6232787_01
Plain hip radiographs at age 19.
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Clinically, features were consistent with acute inflammatory polyarthropathy which were confirmed on plain radiographs (Figures 1 and 2) and serial MRIs (Figures 3 and 4).
Plain knee radiographs at age 19.
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Clinically, features were consistent with acute inflammatory polyarthropathy which were confirmed on plain radiographs (Figures 1 and 2) and serial MRIs (Figures 3 and 4).
MRI of the hip at age 19. Appearances are in keeping with inflammatory arthropathy.
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Clinically, features were consistent with acute inflammatory polyarthropathy which were confirmed on plain radiographs (Figures 1 and 2) and serial MRIs (Figures 3 and 4).
MRI of the hips at age 20.
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Clinically, features were consistent with acute inflammatory polyarthropathy which were confirmed on plain radiographs (Figures 1 and 2) and serial MRIs (Figures 3 and 4).
Postoperative plain radiograph of bipolar short-stemmed total hip replacements.
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Hospital Orthopaedic Centre in Oxford, UK, where she underwent simultaneous hip arthroplasties initially (Figure 5), followed by a unilateral knee arthroplasty (Figure 6) one month proceeding. In view of her young age, the dedicated short-stem bone-preserving uncemented hip and acetabular prosthesis Corin MiniHip  with ceramic-on-ceramic bearing was used for her bilateral hip arthroplasties (Figure 5).
Postoperative plain radiograph of constrained left knee replacement.
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Hospital Orthopaedic Centre in Oxford, UK, where she underwent simultaneous hip arthroplasties initially (Figure 5), followed by a unilateral knee arthroplasty (Figure 6) one month proceeding.
Necrotic femoral heads perioperatively.
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Her bone quality was found to be osteopenic more so at the distal femur compared to around the proximal femur and acetabulum. Histology of the femoral heads (Figure 7) was confirmed as inflammatory arthropathy with late degenerative changes.