Journal of The Showa Medical Association
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
HEMIPLEGIC PATIENT WITH STROKE AND BILATERAL OSTEONECROSIS OF THE FEMORAL HEAD CASE REPORT
Masako NAGASAWAOsamu TOYOSHIMAMasazumi MIZUMANobuyuki KAWATENobuo MOROTOMIGen ONOYukio TAKASAKIYukihiro TANIMOTOKaori KATO
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2008 Volume 68 Issue 5 Pages 285-289

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Abstract

This is a report of a case in which a patient underwent rehabilitation for dual disabilities, hemiplegia and bilateral osteonecrosis of the femoral head. The patient had received oral steroid therapy for dermatomyositis 20 years prior, and after developing osteonecrosis of the femoral head, underwent osteotomy and was able to walk unassisted. The patient was later diagnosed with right hemiplegia and rehabilitation was started. Before the onset of the manifestations of stroke, the patient experienced right hip pain and limping was noted; however after the stroke, the pain diminished as a result of impaired sensation, and weight-bearing on the right lower limb became possible. Worsening of the pain was feared, but because of rest and impaired sensation, pain never inveased, and the patient was discharged to home inth no complications. The patient subsequently developed bilateral coxalgia, and hip replacement arthroplasty was performed. Long-term follow up with attention to complications appears to be important when treating hip disease and hemiplegia.

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