{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:48Z","timestamp":1787755248630,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We present a 70-year-old woman with history of chronic myelomonocytic leukemia with a right thigh hematoma after a corticosteroid hip injection. Aspiration of the hematoma was attempted, but she developed a significant transfusion requirement with paresthesias in a lateral femoral cutaneous nerve distribution, prompting transfer. Imaging demonstrated no active extravasation, and she was managed conservatively. At 8-month follow-up, she had a persistent consolidated hematoma on the right side, and she subsequently died of complications of her cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case demonstrates an unusual complication from a common nonoperative modality, as well as important coagulopathies that must be considered in patients with leukemia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00806","type":"journal-article","created":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T17:00:09Z","timestamp":1658422809000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Hematoma Formation After Hip Corticosteroid Injection in a Patient with Chronic Myelomonocytic Leukemia"],"prefix":"10.2106","volume":"12","author":[{"given":"Phillip T.","family":"Grisdela","sequence":"first","affiliation":[{"name":"Harvard Combined Orthopaedic Residency Program, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4965-6046","authenticated-orcid":false,"given":"Alexander M","family":"Crawford","sequence":"additional","affiliation":[{"name":"Harvard Combined Orthopaedic Residency Program, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9376-8195","authenticated-orcid":false,"given":"David C","family":"Evans","sequence":"additional","affiliation":[{"name":"Harvard Combined Orthopaedic Residency Program, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arvind G.","family":"von Keudell","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,4]]},"reference":[{"issue":"6","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1001\/jama.2020.22171","article-title":"Diagnosis and treatment of hip and knee osteoarthritis: a review","volume":"325","author":"Katz","year":"2021","journal-title":"JAMA."},{"issue":"7","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"2278","DOI":"10.1002\/art.22739","article-title":"Steroid injection for osteoarthritis of the hip a randomized, double-blind, placebo-controlled trial","volume":"56","author":"Lambert","year":"2007","journal-title":"Arthritis Rheum."},{"issue":"7","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1007\/s00256-020-03673-9","article-title":"Predicting outcomes in patients undergoing intra-articular corticosteroid hip injections","volume":"50","author":"Kanthawang","year":"2021","journal-title":"Skeletal Radiol."},{"issue":"12","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1007\/s00256-018-3052-z","article-title":"Efficacy of intraarticular corticosteroid hip injections for osteoarthritis and subsequent surgery","volume":"47","author":"Lai","year":"2018","journal-title":"Skeletal Radiol."},{"issue":"2","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/s00590-019-02555-8","article-title":"Avascular necrosis of the femoral head after single steroid intra-articular injection","volume":"30","author":"Al-Omari","year":"2020","journal-title":"Eur J Orthop Surg Traumatol."},{"issue":"3-4","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1007\/s12178-008-9029-0","article-title":"Intraarticular cortisone injection for osteoarthritis of the hip. Is it effective? Is it safe?","volume":"1","author":"Kruse","year":"2008","journal-title":"Curr Rev Musculoskelet Med."},{"issue":"6","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"450","DOI":"10.3928\/01477447-20090511-28","article-title":"Metabolic derangement after injection of triamcinolone into the hip of an HIV-infected patient receiving ritonavir","volume":"32","author":"Danaher","year":"2009","journal-title":"Orthopedics."},{"issue":"2","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.artd.2018.01.002","article-title":"Rapid destructive osteoarthritis of the hip after intra-articular steroid injection","volume":"4","author":"Tiwari","year":"2018","journal-title":"Arthroplast Today."},{"key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1007\/s11999.0000000000000261","article-title":"Clinical research intraocular pressure increases after intraarticular knee injection with triamcinolone but not hyaluronic acid","volume":"476","author":"Taliaferro","year":"2018","journal-title":"Clin Orthop Relat Res."},{"issue":"3","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1002\/ajh.26455","article-title":"Chronic myelomonocytic leukemia: 2022 update on diagnosis, risk stratification and management","volume":"97","author":"Patnaik","year":"2022","journal-title":"Am J Hematol."},{"issue":"6","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"1552","DOI":"10.1038\/s41375-021-01207-3","article-title":"Chronic myelomonocytic leukemia diagnosis and management","volume":"35","author":"Chan","year":"2021","journal-title":"Leukemia."},{"issue":"17","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.2106\/JBJS.17.01617","article-title":"Projected volume of primary total joint arthroplasty in the U.S., 2014 to 2030","volume":"100","author":"Sloan","year":"2018","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"2325967115581163","DOI":"10.1177\/2325967115581163","article-title":"The effect of intra-articular corticosteroids on articular cartilage: a systematic review","volume":"3","author":"Wernecke","year":"2015","journal-title":"Orthop J Sport Med."},{"issue":"3","key":"bib14-20240805","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1053\/j.seminhematol.2010.02.006","article-title":"Thrombocytopenia in patients with myelodysplastic syndromes","volume":"47","author":"Bryan","year":"2010","journal-title":"Semin Hematol."},{"issue":"14","key":"bib15-20240805","first-page":"8612031","article-title":"A case of acquired haemophilia a in a patient with chronic myelomonocytic leukaemia","volume":"2019","author":"Araki","year":"2019","journal-title":"Case Rep Hematol."},{"issue":"12","key":"bib16-20240805","doi-asserted-by":"crossref","first-page":"3174","DOI":"10.1111\/jth.15074","article-title":"Management of hemostatic complications in acute leukemia: guidance from the SSC of the ISTH","volume":"18","author":"Wang","year":"2020","journal-title":"J Thromb Haemost."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00806","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:40:03Z","timestamp":1787751603000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00806"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":16,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.21.00806","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}