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• W2412769667 abstract "Low back pain is a common symptom arising from many possible sources and includes the possibility of the contribution of remote pathology. This report describes a patient with bilateral osteonecrosis of the femoral heads presenting with a primary symptom of low back pain.A 37-year-old male presented for evaluation of dominant pain that existed for approximately 6-12 months and was located in the right low back. Milder pain was also reported in the right hip. Low back and hip pain were both aggravated by weight-bearing activities. An evidence-based diagnostic evaluation revealed little indication for a primary pain source originating from low back structures. Radiographs revealed bilateral osteonecrosis with evidence of left femoral head collapse.Hip osteonecrosis may have contributed to an atypical presentation of low back pain due to aberrant localization of pain and/or combined with altered biomechanical loading of musculoskeletal structures.La lombalgie est un symptôme commun découlant de nombreuses sources possibles et comprend la possibilité de la contribution d’une pathologie distante. Cette étude décrit un patient atteint d’ostéonécrose bilatérale des têtes fémorales présentant un symptôme primaire de lombalgie.Un homme de 37 ans s’est présenté pour l’évaluation d’une douleur dominante dans le bas du dos, côté droit, qui existait depuis environ 6 à 12 mois. Une douleur plus légère a également été signalée à la hanche droite. Ces deux douleurs s’aggravaient pendant des activités où il fallait porter une charge. Une évaluation diagnostique fondée sur des preuves a révélé peu d’indication d’une source de douleur primaire provenant de structures lombaires. Les radiographies ont révélé une ostéonécrose bilatérale avec une constatation de l’effondrement de la tête fémorale gauche.L’ostéonécrose de la hanche pourrait avoir contribué à une présentation atypique de douleurs lombaires en raison de la localisation aberrante de la douleur ou de la combinaison avec la charge biomécanique altérée des structures musculosquelettiques." @default.
• W2412769667 created "2016-06-24" @default.
• W2412769667 creator A5030237460 @default.
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• W2412769667 date "2015-09-01" @default.
• W2412769667 modified "2023-09-23" @default.
• W2412769667 title "What is the pain source? A case report of a patient with low back pain and bilateral hip osteonecrosis." @default.
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