Immobile to Ambulation: Complex Multijoint Pathologies in a Patient with Advanced HIV Disease: A Case Report.
| Autor: | Samuel JT; CUNY School of Medicine, New York, New York.; Department of Orthopedic Surgery, St. Barnabas Hospital, Bronx, New York., Nwokeji IN; CUNY School of Medicine, New York, New York.; Department of Orthopedic Surgery, St. Barnabas Hospital, Bronx, New York., Ali S; CUNY School of Medicine, New York, New York.; Department of Orthopedic Surgery, St. Barnabas Hospital, Bronx, New York., Jakkula NR; Department of Orthopedic Surgery, St. Barnabas Hospital, Bronx, New York., Fung J; Department of Orthopedic Surgery, St. Barnabas Hospital, Bronx, New York., Campbell A; Department of Orthopedic Surgery, St. Barnabas Hospital, Bronx, New York., Singanamala N; Department of Orthopedic Surgery, St. Barnabas Hospital, Bronx, New York. |
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| Jazyk: | angličtina |
| Zdroj: | JBJS case connector [JBJS Case Connect] 2024 Sep 13; Vol. 14 (3). Date of Electronic Publication: 2024 Sep 13 (Print Publication: 2024). |
| DOI: | e24.00025 |
| Abstrakt: | Case: A 30-year-old man with a history of advanced HIV disease (AHD) presented with bilateral equinocavus, leg, and foot muscle paresis, Brooker grade 4 heterotopic ossification of hips and knee stiffness, and was unable to sit upright, stand independently, or walk. Electromyography showed demyelinating sensorimotor and axonal polyneuropathy of lower extremities. Multiple surgeries of bilateral hips, ankles, and feet enabled joint mobility, plantigrade feet, and independent ambulation. Conclusion: Patients with AHD may develop multijoint pathologies, secondary to HIV, antiretroviral therapy, or prolonged immobility, resulting in loss of ambulation and independence. Restoring ambulation may necessitate multiple surgeries, with potential for success. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C435). (Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.) |
| Databáze: | MEDLINE |
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