case_images: PMC8046464_01
case_images: Flexion deformity of elbows.
case_images: JOCR-11-113-g001.jpg
case_images: PMC8046464_01_JOCR-11-113-g001.jpg
case_images: F1
case_images: There were flexion deformities of the distal interphalangeal joints in the hand and elbow (Figs. 1 and 2) and hallux valgus deformities of the great toes.
case_images: Deformity of the finger joints.
case_images: JOCR-11-113-g002.jpg
case_images: PMC8046464_01_JOCR-11-113-g002.jpg
case_images: F2
case_images: There were flexion deformities of the distal interphalangeal joints in the hand and elbow (Figs. 1 and 2) and hallux valgus deformities of the great toes.
case_images: Bilateral hip arthritis.
case_images: JOCR-11-113-g003.jpg
case_images: PMC8046464_01_JOCR-11-113-g003.jpg
case_images: F3
case_images: Anteroposterior X-ray of the hip joint showed severe arthritic changes with a reduction of bilateral femoroacetabular joint spaces (right >left) and subchondral sclerosis (Fig. 3).
case_images: Epiphyseal widening and periarticular osteopenia of DIP and PIP.
case_images: JOCR-11-113-g004.jpg
case_images: PMC8046464_01_JOCR-11-113-g004.jpg
case_images: F4
case_images: X-ray of the hands revealed periarticular osteoporosis, a notable narrowing of the joint spaces of proximal interphalangeal and distal interphalangeal joints, and osseous enlargement of the base of the metacarpal, proximal, and distal phalangeal bones (Fig. 4).
case_images: Heap up appearances.
case_images: JOCR-11-113-g005.jpg
case_images: PMC8046464_01_JOCR-11-113-g005.jpg
case_images: F5
case_images: Platyspondyly and hyperostosis on the posterior two-thirds of end plates giving rise to a heaped-up or hump-shaped appearance was noted (Fig. 5).
case_images: Magnetic resonance imaging of the spine.
case_images: JOCR-11-113-g006.jpg
case_images: PMC8046464_01_JOCR-11-113-g006.jpg
case_images: F6
case_images: Schmorl's nodes suggestive of degenerative changes were also noted on the magnetic resonance imaging of the spine (Fig. 6). She was diagnosed as SEDT-PA with Stage IV bilateral hip joint osteoarthritis.
case_images: X-ray of the right hip with 25 mm Rs. 2 coin as magnification marker - which measured 23 mm on the X-ray.
case_images: JOCR-11-113-g007.jpg
case_images: PMC8046464_01_JOCR-11-113-g007.jpg
case_images: F7
case_images: X-ray of the right hip with a magnification marker (25 mm diameter Rs. 2 coin) was taken (Fig. 7) and the acetabular cup size was measured as 48 mm and the distance between the upper border of lesser trochanter and center of the femoral head was measured as 30 mm (usually between 40 and 60 mm).