Haematoma of pectineus muscle after total hip arthroplasty

Abstract The complications of total hip arthroplasty (THA) during the immediate postoperative period consist mainly in dislocation of the prosthesis, haematomas under antocoagulants, early infections, dismantling of osteotomy, neurological injury, heterotopic ossification and delayed restoration of...

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Veröffentlicht in:Annals of physical and rehabilitation medicine 2011-07, Vol.54 (5), p.293-297
Hauptverfasser: Bernard, P, Gonzalez, J.-F, Facione, J, Chapus, J.-J, Lagauche, D
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container_end_page 297
container_issue 5
container_start_page 293
container_title Annals of physical and rehabilitation medicine
container_volume 54
creator Bernard, P
Gonzalez, J.-F
Facione, J
Chapus, J.-J
Lagauche, D
description Abstract The complications of total hip arthroplasty (THA) during the immediate postoperative period consist mainly in dislocation of the prosthesis, haematomas under antocoagulants, early infections, dismantling of osteotomy, neurological injury, heterotopic ossification and delayed restoration of the range of motion of the hip joint. We present here an infrequently described case of haematoma of the pectineus muscle following THA. Haematomas are not described in literature except in rare cases of compressive haematoma associated with neurological injury. In our case, the intraoperative blood losses were not particularly massive, there were no anticoagulation accident or postoperative trauma and no secondary deglobulinization. The question to be considered is that of a possible stretching of the pectineus during hip dislocation, and possibly during the surgical procedures for the implementation of the prosthesis with increased length, as it is the case here. Haematomas of the pectineus are probably underdiagnosed as they imitate other, more known, symptomatologies.
doi_str_mv 10.1016/j.rehab.2011.05.002
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We present here an infrequently described case of haematoma of the pectineus muscle following THA. Haematomas are not described in literature except in rare cases of compressive haematoma associated with neurological injury. In our case, the intraoperative blood losses were not particularly massive, there were no anticoagulation accident or postoperative trauma and no secondary deglobulinization. The question to be considered is that of a possible stretching of the pectineus during hip dislocation, and possibly during the surgical procedures for the implementation of the prosthesis with increased length, as it is the case here. 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Orthopedic treatment ; Haematoma ; Hanche ; Hematoma - etiology ; Hip ; Hip Dislocation - complications ; Hip Dislocation - surgery ; Humans ; Hématome ; Internal Medicine ; Intraoperative Complications ; Male ; Medical sciences ; Muscle, Skeletal - blood supply ; Muscle, Skeletal - diagnostic imaging ; Muscle, Skeletal - injuries ; Orthopedic surgery ; Pectineus muscle ; Pectiné ; Physical Medicine and Rehabilitation ; Postoperative complications ; Postoperative Hemorrhage - etiology ; Prosthesis ; Prothèse ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Stress, Mechanical ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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We present here an infrequently described case of haematoma of the pectineus muscle following THA. Haematomas are not described in literature except in rare cases of compressive haematoma associated with neurological injury. In our case, the intraoperative blood losses were not particularly massive, there were no anticoagulation accident or postoperative trauma and no secondary deglobulinization. The question to be considered is that of a possible stretching of the pectineus during hip dislocation, and possibly during the surgical procedures for the implementation of the prosthesis with increased length, as it is the case here. 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Orthopedic treatment</subject><subject>Haematoma</subject><subject>Hanche</subject><subject>Hematoma - etiology</subject><subject>Hip</subject><subject>Hip Dislocation - complications</subject><subject>Hip Dislocation - surgery</subject><subject>Humans</subject><subject>Hématome</subject><subject>Internal Medicine</subject><subject>Intraoperative Complications</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Muscle, Skeletal - blood supply</subject><subject>Muscle, Skeletal - diagnostic imaging</subject><subject>Muscle, Skeletal - injuries</subject><subject>Orthopedic surgery</subject><subject>Pectineus muscle</subject><subject>Pectiné</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Postoperative complications</subject><subject>Postoperative Hemorrhage - etiology</subject><subject>Prosthesis</subject><subject>Prothèse</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Stress, Mechanical</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Orthopedic treatment</topic><topic>Haematoma</topic><topic>Hanche</topic><topic>Hematoma - etiology</topic><topic>Hip</topic><topic>Hip Dislocation - complications</topic><topic>Hip Dislocation - surgery</topic><topic>Humans</topic><topic>Hématome</topic><topic>Internal Medicine</topic><topic>Intraoperative Complications</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Muscle, Skeletal - blood supply</topic><topic>Muscle, Skeletal - diagnostic imaging</topic><topic>Muscle, Skeletal - injuries</topic><topic>Orthopedic surgery</topic><topic>Pectineus muscle</topic><topic>Pectiné</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Postoperative complications</topic><topic>Postoperative Hemorrhage - etiology</topic><topic>Prosthesis</topic><topic>Prothèse</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Graft diseases</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bernard, P</creatorcontrib><creatorcontrib>Gonzalez, J.-F</creatorcontrib><creatorcontrib>Facione, J</creatorcontrib><creatorcontrib>Chapus, J.-J</creatorcontrib><creatorcontrib>Lagauche, D</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of physical and rehabilitation medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bernard, P</au><au>Gonzalez, J.-F</au><au>Facione, J</au><au>Chapus, J.-J</au><au>Lagauche, D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Haematoma of pectineus muscle after total hip arthroplasty</atitle><jtitle>Annals of physical and rehabilitation medicine</jtitle><addtitle>Ann Phys Rehabil Med</addtitle><date>2011-07</date><risdate>2011</risdate><volume>54</volume><issue>5</issue><spage>293</spage><epage>297</epage><pages>293-297</pages><issn>1877-0657</issn><eissn>1877-0665</eissn><abstract>Abstract The complications of total hip arthroplasty (THA) during the immediate postoperative period consist mainly in dislocation of the prosthesis, haematomas under antocoagulants, early infections, dismantling of osteotomy, neurological injury, heterotopic ossification and delayed restoration of the range of motion of the hip joint. 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subjects Aged
Arthroplasty
Arthroplasty, Replacement, Hip
Biological and medical sciences
Complication opératoire
Diseases of the osteoarticular system
Diseases of the osteoarticular system. Orthopedic treatment
Haematoma
Hanche
Hematoma - etiology
Hip
Hip Dislocation - complications
Hip Dislocation - surgery
Humans
Hématome
Internal Medicine
Intraoperative Complications
Male
Medical sciences
Muscle, Skeletal - blood supply
Muscle, Skeletal - diagnostic imaging
Muscle, Skeletal - injuries
Orthopedic surgery
Pectineus muscle
Pectiné
Physical Medicine and Rehabilitation
Postoperative complications
Postoperative Hemorrhage - etiology
Prosthesis
Prothèse
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Stress, Mechanical
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tomography, X-Ray Computed
title Haematoma of pectineus muscle after total hip arthroplasty
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