case_images: PMC6232787_01
case_images: Plain hip radiographs at age 19.
case_images: CRIOR2018-4630759.001.jpg
case_images: PMC6232787_01_CRIOR2018-4630759.001.jpg
case_images: fig1
case_images: Clinically, features were consistent with acute inflammatory polyarthropathy which were confirmed on plain radiographs (Figures 1 and 2) and serial MRIs (Figures 3 and 4).
case_images: Plain knee radiographs at age 19.
case_images: CRIOR2018-4630759.002.jpg
case_images: PMC6232787_01_CRIOR2018-4630759.002.jpg
case_images: fig2
case_images: Clinically, features were consistent with acute inflammatory polyarthropathy which were confirmed on plain radiographs (Figures 1 and 2) and serial MRIs (Figures 3 and 4).
case_images: MRI of the hip at age 19. Appearances are in keeping with inflammatory arthropathy.
case_images: CRIOR2018-4630759.003.jpg
case_images: PMC6232787_01_CRIOR2018-4630759.003.jpg
case_images: fig3
case_images: Clinically, features were consistent with acute inflammatory polyarthropathy which were confirmed on plain radiographs (Figures 1 and 2) and serial MRIs (Figures 3 and 4).
case_images: MRI of the hips at age 20.
case_images: CRIOR2018-4630759.004.jpg
case_images: PMC6232787_01_CRIOR2018-4630759.004.jpg
case_images: fig4
case_images: Clinically, features were consistent with acute inflammatory polyarthropathy which were confirmed on plain radiographs (Figures 1 and 2) and serial MRIs (Figures 3 and 4).
case_images: Postoperative plain radiograph of bipolar short-stemmed total hip replacements.
case_images: CRIOR2018-4630759.005.jpg
case_images: PMC6232787_01_CRIOR2018-4630759.005.jpg
case_images: fig5
case_images: Hospital Orthopaedic Centre in Oxford, UK, where she underwent simultaneous hip arthroplasties initially (Figure 5), followed by a unilateral knee arthroplasty (Figure 6) one month proceeding. In view of her young age, the dedicated short-stem bone-preserving uncemented hip and acetabular prosthesis Corin MiniHip  with ceramic-on-ceramic bearing was used for her bilateral hip arthroplasties (Figure 5).
case_images: Postoperative plain radiograph of constrained left knee replacement.
case_images: CRIOR2018-4630759.006.jpg
case_images: PMC6232787_01_CRIOR2018-4630759.006.jpg
case_images: fig6
case_images: Hospital Orthopaedic Centre in Oxford, UK, where she underwent simultaneous hip arthroplasties initially (Figure 5), followed by a unilateral knee arthroplasty (Figure 6) one month proceeding.
case_images: Necrotic femoral heads perioperatively.
case_images: CRIOR2018-4630759.007.jpg
case_images: PMC6232787_01_CRIOR2018-4630759.007.jpg
case_images: fig7
case_images: Her bone quality was found to be osteopenic more so at the distal femur compared to around the proximal femur and acetabulum. Histology of the femoral heads (Figure 7) was confirmed as inflammatory arthropathy with late degenerative changes.