Case Report: Osteonecrosis of the Femoral Head after Hip Arthroscopy

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 intra articular 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.

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Radiofrequency Ablation in Chondroblastoma of the Femoral Head in Skeletally Immature Individuals: A Case Report

The Bangkok Medical Journal ◽

10.31524/bkkmedj.2017.09.010 ◽

2017 ◽

Vol 13 (02) ◽

pp. 61-64

Author(s):

Samatit Pornwattanavate ◽

Olarn Arpornchayanon ◽

Sirichai Luevitoonvechkij ◽

Dumnoensun Pruksakorn

Keyword(s):

Case Report ◽

Radiofrequency Ablation ◽

Femoral Head ◽

Skeletally Immature

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A case report of femoral head fracture with osteochondral lesion treated by osteosynthesis and biomimetic scaffold: 2-year clinical and radiological follow-up

Journal of Experimental Orthopaedics ◽

10.1186/s40634-021-00362-x ◽

2021 ◽

Vol 8 (1) ◽

Author(s):

Alessandro Casiraghi ◽

Claudio Galante ◽

Marco Domenicucci ◽

Stefano Cattaneo ◽

Andrea Achille Spreafico ◽

...

Keyword(s):

Case Report ◽

Femoral Head ◽

Articular Surface ◽

Osteochondral Lesion ◽

Hip Dislocation ◽

Fracture Dislocation ◽

Osteochondral Lesions ◽

Femoral Head Fracture ◽

Osteochondral Scaffold

AbstractThe aim of the present study was to present clinical and radiological outcome of a hip fracture-dislocation of the femoral head treated with biomimetic osteochondral scaffold.An 18-year-old male was admitted to the hospital after a motorcycle-accident. He presented with an obturator hip dislocation with a type IVA femoral head fracture according to Brumback classification system. The patient underwent surgery 5 days after accident. The largest osteochondral fragment was reduced and stabilized with 2 screws, and the small fragments were removed. The residual osteochondral area was replaced by a biomimetic nanostructured osteochondral scaffold. At 1-year follow-up the patient did not complain of hip pain and could walk without limp. At 2-year follow-up he was able to run with no pain and he returned to practice sports. Repeated radiographs and magnetic resonance imaging studies of the hip showed no signs of osteoarthritis or evidence of avascular necrosis. A hyaline-like signal on the surface of the scaffold was observed with restoration of the articular surface and progressive decrease of the subchondral edema.The results of the present study showed that the biomimetic nanostructured osteochondral scaffold could be a promising and safe option for the treatment of traumatic osteochondral lesions of the femoral head.Study Design: Case report.

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Gorham Stout disease: a case report from Syria

Oxford Medical Case Reports ◽

10.1093/omcr/omaa121 ◽

2021 ◽

Vol 2021 (1) ◽

Author(s):

Asil Esper ◽

Sami Alhoulaiby ◽

Areege Emran ◽

Safwan Youssef ◽

Zuheir Alshehabi

Keyword(s):

Case Report ◽

Femoral Head ◽

Bone Formation ◽

Clinical Picture ◽

Bone Matrix ◽

Differential Diagnoses ◽

Rare Entity ◽

Relative Improvement ◽

Cellular Atypia ◽

Pathologic Fractures

Abstract Gorham-Stout disease (GSD) is a rare entity that destroys the bone matrix resulting mainly in osteolysis, pain and pathologic fractures among a broader clinical picture. We report a case of a 60-year-old female with a sudden discovery of pathologic fractures in the pelvis and the absence of the left femoral head. On biopsy, no cellular atypia was found, instead disturbed bone formation with prominent vascularity with scattered foci of necrosis & osteolysis, which lead to the diagnosis of GSD. Possible differential diagnoses were discussed and excluded. The patient was put on Bisphosphonate that led to a relative improvement in the symptoms. This disease needs a more thorough investigation to identify the key cause, what is beyond the scope of this report.

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Arthroscopic Treatment of Femoroacetabular Impingement Syndrome with Bone Cyst at Femoral Head-Neck Junction: Case Report and Literature Review

Journal of Cartilage & Joint Preservation ◽

10.1016/j.jcjp.2021.100020 ◽

2021 ◽

pp. 100020

Author(s):

Hong-Jie Huang ◽

Hao Sun ◽

Xin Zhang ◽

Mamtimin Mahmut ◽

Fan Yang ◽

...

Keyword(s):

Case Report ◽

Femoral Head ◽

Literature Review ◽

Femoroacetabular Impingement ◽

Bone Cyst ◽

Impingement Syndrome ◽

Arthroscopic Treatment ◽

Femoroacetabular Impingement Syndrome ◽

Head Neck ◽

Neck Junction

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Asymmetric bilateral hip dislocations and unilateral femoral head fracture: A CASE report

Trauma Case Reports ◽

10.1016/j.tcr.2018.09.011 ◽

2018 ◽

Vol 17 ◽

pp. 48-51

Author(s):

Erdem Değirmenci ◽

Yasin Emre Kaya ◽

Kutay Engin Özturan

Keyword(s):

Case Report ◽

Femoral Head ◽

Femoral Head Fracture

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Bilateral Destructive Hip Disease from Untreated Juvenile Idiopathic Arthritis

Case Reports in Orthopedics ◽

10.1155/2019/4593129 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

Arash Calafi ◽

Alton W. Skaggs ◽

Trevor J. Shelton ◽

Brian M. Haus

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Case Report ◽

Femoral Head ◽

Pediatric Patient ◽

Acetabular Dysplasia ◽

Pediatric Patients ◽

Similar Case ◽

Hip Pain ◽

Complete Destruction ◽

Hip Disease

We report a novel case of a pediatric patient with bilateral hip destruction from untreated Juvenile idiopathic arthritis (JIA). She was presented at the age of 9 with hip pain associated with bilateral acetabular dysplasia and a dislocated left femoral head. Only 1.5 years later, the patient developed complete destruction of the left femoral head and dislocated right femoral head. The authors have not identified literature describing a similar case report of bilateral femoral head destruction resulting from Persistent Oligoarticular JIA. Pediatric patients presenting with rapidly evolving destructive process should be evaluated for rheumatologic, infectious, and spinal etiologies.

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