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Case Reports
. 2009 Jun 30;1(1):e2.
doi: 10.4081/or.2009.e2.

Arthroscopic management of an intraarticular osteochondroma of the hip

Brian T Feeley  1 , Bryan T Kelly
Affiliations
Case Reports

Arthroscopic management of an intraarticular osteochondroma of the hip

Brian T Feeley et al. Orthop Rev (Pavia). .

Abstract

The role of hip arthroscopy in the management of femoroacetabular impingement (FAI) has been advancing rapidly. In this case report, we describe the use of hip arthroscopy to successfully treat a femoral neck osteochondroma that caused a symptomatic labral tear in a 37 year old woman. Hip arthroscopy offers several advantages to surgical dislocation of the hip in the management of intraarticular pathology and FAI. Hip arthroscopy is minimally invasive without the significant trauma to hip musculature, is useful in treatment of labral tears generated by FAI, and can be used to resect small lesions on the femoral head.

Keywords: femoroacetabular impingement; hip arthroscopy; labral tear.; osteochondroma.

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Figures

Figure 1
Figure 1
(A) 3D CT reconstruction of the right hip demonstrating the osteochondroma on the medial aspect of the femoral neck. (B) Coronal MRI of the hip demonstrates an anterosuperior labral tear that is nondisplaced (arrow). (C) Swiss axial MRI of the hip demonstrates the osteochondroma (arrow) with thickening of the anterior capsule (arrowhead) adjacent to the lesion.
Figure 2
Figure 2
(A) Arthroscopic view of the hip from the lateral portal demonstrating the femoral head (FH), acetabulum (A), and the labral tear on the anteromedial aspect of the labrum. (B) After debridement of the labral tear. (C) Arthroscopic view of the peripheral compartment with visualization of the osteochondroma (OC) on the femoral neck (FN). (D) After resection of the osteochondroma.
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