Author/Authors :
houzou, prénam centre hospitalier universitaire (chu kara) - service de rhumatologie, Kara, Togo , koffi-tessio, viwalé etonam sika centre hospitalier universitaire (chu sylvanus olympio) - service de rhumatologie, Kara, Togo , kakpovi, kodjo centre hospitalier universitaire (chu sylvanus olympio) - service de rhumatologie, Kara, Togo , fianyo, eyram centre hospitalier régional de lomé-commune (chr lomé commune) - service de rhumatologie, Kara, Togo , tagbor, komi cyrille hôpital de bè - service de rhumatologie, Kara, Togo , oniankitan, owonayo centre hospitalier régional de lomé-commune (chr lomé commune) - service de rhumatologie, Kara, Togo , mijiyawa, moustafa centre hospitalier universitaire (chu sylvanus olympio) - service de rhumatologie, Kara, Togo
Abstract :
Objectives: To determine the epidemiological andsemiological profile of osteonecrosis of the femoral head(ONFH) during a rheumatology consultation in northernTogo.Patients and methods: It was a cross-sectional studyconducted from April 2012 to July 2016 on the filesof patients with an ONFH seen in rheumatologicalconsultation at Kara Teaching Hospital (Togo). Thediagnosis was mainly radioclinic. No patient performedMRI.Results: Fifty-six of the 2591 patients (2.16%) examinedhad an ONFH. The 56 patients were made of 60.71% ofwomen and 39.29% of men. The mean age at consultationwas 41.39 years and the median duration of the diseasewas 4.72 years. The pain was at the groin (24 cases), thegreater trochanter (30 cases), and the buttock (12 cases).Low back pain was present in 27 patients and pain wasprojected on the knee in 28 patients. Walking was painfulin 91.07% of patients and associated with lameness in82.14% of cases. According to the classification of Arletand Ficat, radiologic lesions of ONFH was at stage II in15 patients, stage III in 20 patients and stage IV in 32patients. Involvement was unilateral in 69.64% of cases(21 right and 18 left), and bilateral in the 30.36% othercases. The main risk factors of ONFH were: sickle celldisease (28.57%), hypertriglyceridemia (17.85%) andhypercholesterolemia (14.28%), alcoholism (14.28%),and diabetes in two patients. Seventeen patients wereoverweight or obese. Three patients were HIV positive.conclusion : ONFH is frequent in northern Togo andsickle cell disease is the main risk factor associated. Animportant part of evolved forms is noted in relation with.a diagnostic delay.
NaturalLanguageKeyword :
Osteonecrosis , Epidemiology , SickleCell Disease , Togo
