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. 2015 Nov 16;44(3):186-90.
doi: 10.1016/S2255-4971(15)30066-5. eCollection 2009 Jan.

ORTHOPEDIC COMPLICATIONS IN HIV PATIENTS

Ana Lúcia Lei Munhoz Lima  1 , Alexandre Leme Godoy  1 , Priscila Rosalba Domingos Oliveira  1 , Ricardo Gomes Gobbi  1 , Camila de Almeida Silva  1 , Patricia Bernardelli Martino  1 , Eliana Bataggia Gutierrez  2 , Maria Clara Gianna  3 , Gilberto Luis Camanho  1
Affiliations

ORTHOPEDIC COMPLICATIONS IN HIV PATIENTS

Ana Lúcia Lei Munhoz Lima et al. Rev Bras Ortop. .

Abstract

The considerable increase of the life expectancy of HIV-infected patients in the age of highly-powerful antiretroviral treatment results in important metabolic and bone-joint changes resulting from a long-lasting viral infection time and from this treatment. The most common orthopaedic complications are bone mineralization changes, osteonecrosis, carpal tunnel syndrome and gleno-humeral adhesive capsulitis, with different clinical presentation features, natural disease progression and therapeutic response compared to the overall population. Literature reports are initial, and the experience of the multidisciplinary service of the University of Sao Paulo's Institute of Orthopaedics and Traumatology enables us a more indepth knowledge about the various pathologies involved and the development of treatment protocols that are appropriate to these diagnoses.

Keywords: Diagnosis; HIV; Orthopaedics.

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Figures

Figure 1
Figure 1
Graphical representation of the normal ranges and changes in bone mineral density based on standard deviation from the general population.
Figure 2
Figure 2
Biochemical markers of bone metabolism.
Figure 3
Figure 3
Meta-analysis: risk of osteoporosis in HIV patients and control population.
Figure 4
Figure 4
Algorithm: investigation and prevention of complications of decreased bone mineral density.
Figure 5
Figure 5
Distribution of ART among HIV-infected patients monitored at the IOT outpatient clinic.
Figure 6
Figure 6
Distribution by topography of orthopedic injuries in HIV-infected patients monitored at the IOT outpatient clinic.
See this image and copyright information in PMC

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