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. 2014 May 27;3(3):e347-50.
doi: 10.1016/j.eats.2014.02.001. eCollection 2014 Jun.

Arthroscopic Resection of Intra-Articular Osteochondromas of the Hip

Thiago Aguiar  1 , Pedro Dantas  2
Affiliations

Arthroscopic Resection of Intra-Articular Osteochondromas of the Hip

Thiago Aguiar et al. Arthrosc Tech. .

Abstract

Proximal femur osteochondromas are relatively rare, particularly in the femoral neck. The choice of treatment poses difficulties to the surgeon. We report an unusual case of a patient with 2 osteochondromas in the femoral neck causing femoroacetabular impingement. Appropriate identification and precise resection of the lesions are important steps of the surgical procedure. We present our arthroscopic surgical technique to access the lesions and perform their resection. To our knowledge, this is the first report of hip arthroscopic resection of 2 osteochondromas with considerable dimensions causing femoroacetabular impingement.

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Figures

Fig 1
Fig 1
(A) Preoperative anteroposterior radiograph, (B) resection planning radiograph, and (C) computed tomography scan with 3-dimensional reconstruction showing 2 osteochondromas.
Fig 2
Fig 2
Magnetic resonance arthrogram showing anterolateral labral tear and minimal cartilage lesion.
Fig 3
Fig 3
Arthroscopic view showing osteochondroma identification and resection.
Fig 4
Fig 4
(A) Postoperative radiograph and (B) computed tomography scan showing complete resection of tumors.
See this image and copyright information in PMC

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