AI Article Synopsis
- Diving is a common fishing method used globally, but divers often suffer from decompression sickness (DCS), which can lead to serious health issues.
- A 46-year-old male diver from Yucatan experienced chronic pain due to avascular necrosis in his hip, linked to his history of DCS, and required surgery.
- There is a significant need for increased awareness and training regarding the risks of DCS and dysbaric osteonecrosis in small-scale fishing communities.
Article Abstract
Diving as a method of fishing is used worldwide in small-scale fisheries. However, one of the main causes of morbidity and mortality among fishermen is decompression sickness (DCS). We report the case of a 46-year-old male fisherman diver who presented with chronic inguinal pain that radiated to the lower left limb. Living and working in a fishing port in Yucatan, he had a prior history of DCS. A diagnosis of avascular necrosis in the left femoral head secondary to DCS was made via analysis of clinical and radiological findings. The necrosis was surgically resolved by a total hip arthroplasty. Dysbaric osteonecrosis is a more probable diagnosis. In this region fishermen undergo significant decompression stress in their daily fishing efforts. Further studies regarding prevalence of dysbaric osteonecrosis among small-scale fisheries divers are needed. In a community where DCS is endemic and has become an epidemic, as of late, the perception of this health risk remains low. Furthermore, training and decompression technique are lacking among the fishing communities.
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