Case Report: Coxa-osteoarthritis and quality of poor medical care with traumatic iatrogenesis due to non-specialized medical disability

  • Jesús Carlos Ruvalcaba-Ledezma Universidad Autónoma del Estado de Hidalgo
  • Gloria Vargas-Sánchez Universidad Autónoma del Estado de Hidalgo
  • Josefina Reynoso-Vázquez Universidad Autónoma del Estado de Hidalgo
  • Lydia López-Pontigo Universidad Autónoma del Estado de Hidalgo
Keywords: Coxa-osteoarthritis, permanent work disability, poor quality of health services, medical disability, medical iatrogenesis


Objective. To describe the beginnings and evolution of this condition, as well as to generate a proposal in the medical practice for the trauma service in order to avoid complications due to inadequate patient care derived from the intervention of resident doctors; not yet defined as traumatologists as the main axis of disability and complications generated in the patient with coxa-osteoarthritis. Material and methods. A case of coxa-osteoarthritis with disabling complications derived from non-specialized care with traumatic and disabling consequences for the patient was analyzed based on laboratory tests and what the patient refers. Results. The patient is on sick leave and her life quality has been affected because of a femoral fracture caused by a physician who was not specialized in traumatology. This showed quality deficiency in medical care, diagnostic errors, poor professional capacity of the health care staff, delay in scheduled X-Ray studies, poor imaging technique hampering a timely diagnosis, and the health care staff being indifferent to the pain of others. Conclusion. The patient is on permanent disability from work, with a left femur prosthesis derived from the fracture caused by a medical resident who was not specialized in trauma.


Download data is not yet available.


Umberto Tarantino, Monica Celi, Cecilia Rao, Maurizio Feola, Irene Cerocchi, Elena Gasbarra, Amedeo Ferlosio, and Augusto Orlandi. Hip Osteoarthritis and Osteoporosis: Clinical and Histomorphometric Considerations. International Journal Endocrinology. 2014

Simon Dagenais DC, PhD, Shawn Garbedian MD, Eugene K. Wai MD, MSc. Systematic Review of the Prevalence of Radiographic Primary Hip Osteoarthritis. Clin Orthop Relat Res. 467:623–637. 2009

Sandra I. Sulsky, Laura Carlton, Frank Bochmann, Rolf Ellegast, Ulrich Glitsch, Bernd Hartmann, Dirk Pallapies, D. Seidel, Yi Sun. Epidemiological Evidence for Work Load as a Risk Factor for Osteoarthritis of the Hip: A Systematic Review. PLoS ONE 7(2): e31521. doi: 10.1371/journal.pone.0031521. 2012

Macovei L, Brujbu I, Murariu RV. Coxarthrosis-disease of multifactorial. etiology methods of prevention and treatment. The role of kinesitherapy in coxarthrosis. Rev Med Chir Soc Med Nat Iasi. Apr-Jun;117(2):351-7. 2013

Soleimanpour H, Gahramani K, Taheri R, Golzari SE, Safari S, Esfanjani RM, Iranpour A. The effect of low-level laser therapy on knee osteoarthritis: prospective, descriptive study. Lasers Med Sci. 2014