Dysbaric osteonecrosis associated with decompression sickness in a fishing diver
| Autor: | Eduardo Briceño-Souza, Nina Méndez-Domínguez, Ricardo Cárdenas-Dajdaj, Oswaldo Huchim-Lara, Walter Chin |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Decompression Diving Fishing Fisheries Pain Left femoral head Avascular necrosis Groin Decompression sickness Femur Head Necrosis medicine Humans Arthrography Mexico business.industry Decompression illness General Medicine Middle Aged Decompression Sickness medicine.disease Occupational Diseases Dysbaric osteonecrosis Radiological weapon Emergency medicine business |
| Zdroj: | Scopus-Elsevier Europe PubMed Central Nina Mendez |
| ISSN: | 1066-2936 |
| DOI: | 10.22462/04.06.2019.17 |
| Popis: | Diving as a method of fishing is used worldwide in small-scale fisheries. However, one of the main causes of morbidity and mortality among fishermen is decompression sickness (DCS). We report the case of a 46-year-old male fisherman diver who presented with chronic inguinal pain that radiated to the lower left limb. Living and working in a fishing port in Yucatan, he had a prior history of DCS. A diagnosis of avascular necrosis in the left femoral head secondary to DCS was made via analysis of clinical and radiological findings. The necrosis was surgically resolved by a total hip arthroplasty. Dysbaric osteonecrosis is a more probable diagnosis. In this region fishermen undergo significant decompression stress in their daily fishing efforts. Further studies regarding prevalence of dysbaric osteonecrosis among small-scale fisheries divers are needed. In a community where DCS is endemic and has become an epidemic, as of late, the perception of this health risk remains low. Furthermore, training and decompression technique are lacking among the fishing communities. |
| Databáze: | OpenAIRE |
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