scholarly journals Arthroscopic management of an intraarticular osteochondroma of the hip

2009 ◽  
Vol 1 (1) ◽  
pp. 2 ◽  
Author(s):  
Brian T. Feeley ◽  
Bryan T. Kelley
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Femoral Neck ◽  
Hip Arthroscopy ◽  
Arthroscopic Management ◽  
Surgical Dislocation ◽  
Labral Tears ◽  
Articular Pathology ◽  
Dislocation Of The Hip

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.

scholarly journals Case Report: Osteonecrosis of the Femoral Head after Hip Arthroscopy

2010 ◽  
Vol 468 (11) ◽  
pp. 3121-3125 ◽  
Author(s):  
Danielle L. Scher ◽  
Philip J. Belmont ◽  
Brett D. Owens
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Hip Arthroscopy

scholarly journals Caso Clínico: Luxación Controlada de Cadera. Epifisiólisis de Cabeza Femoral

2018 ◽  
Vol 10 (2) ◽  
pp. 175-178
Author(s):  
Christian Romeo Bravo Aguilar ◽  
Franklin Xavier Bravo Aguilar ◽  
Adriana Abigail Guzmán Villa
Keyword(s):  
Femoral Head ◽  
High Body Mass Index ◽  
Long Term Results ◽  
Adequate Treatment ◽  
Surgical Dislocation ◽  
In Situ Fixation ◽  
Lancinating Pain ◽  
The Right ◽  
Dislocation Of The Hip

BACKGROUND: The epiphysiolysis of the femoral head is the displacement of the epiphysis with respect to the metaphysis, in anterosuperior direction; it is etiology is unknown, frequent in adolescents, peripubertal period, and with high body mass index, average age between 12 and 18 years. It is incidence is variable, 0.2 (Japan) to 10 (United States) per 100 000 inhabitants. It is characterized by progressive pain in the hip, with irradiation to the groin or knee, is associated with lameness; with the early detection, an adequate treatment can be established, the most accepted one is the in situ fixation with central screws. CASE REPORT: A 14-year-old female patient with no pathological history attended the Children's Orthopedic Service due to the chronic lancinating pain of the right hip, which increases with walking, it is diagnosed by clinical examination and complementary exams of femoral head epiphysiolysis. Surgical dislocation of the hip and anatomical open reduction with placement of spongy screws was performed. EVOLUTION: On the third day of surgery, hospital discharge is decided; walking with crutches and without support during a postoperative month. The osteosynthesis remained for a year with monthly controls and corresponding physiotherapy; it has been evidenced favorable evolution; hip mobility arches preserved, normal ambulation, without complications CONCLUSIONS: The initial treatment of a patient with epiphysiolysis of stable femoral head depends on the evolution time and is done by fixing with screws or needles with of anatomical dislocation of the hip and osteoplasty of femoral neck remodeling. Most patients do not develop necrosis or chondro- lysis and long-term results with in situ fixation are usually excellent, unlike patients with late diagnosis.

scholarly journals Canine Femoral Neck Lengthening Combined with DARthroplasty to Manage Severe Canine Juvenile Hip Dysplasia: A Case Report

VCOT Open ◽  
2019 ◽  
Vol 02 (02) ◽  
pp. e25-e29
Author(s):  
Massimo Petazzoni ◽  
Melania Dallago
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Femoral Neck ◽  
Hip Dysplasia ◽  
Case Description ◽  
Femoral Head Coverage ◽  
Design Case ◽  
Hip Luxation ◽  
Acetabular Rim

Objective This study is a case description of femoral neck lengthening and dorsal acetabular rim (DAR) arthroplasty to treat severe hip luxation in a 5-month-old male Cocker Spaniel (14.3 kg) and to compare the clinical outcome with that of contralateral femoral neck excision. Study design Case report. Results Femoral head coverage improved after surgery (preoperative lateralization of the centre of the femoral head with regard to the dorsolateral acetabular rim: 10 mm; postoperative lateralization of the centre of the femoral head: –1.3 mm). The postoperative Barden's test was negative. The dog was bearing weight 2 weeks postoperatively. Radiographic signs of bone healing were present at the 6-week follow-up examination. No complications were detected. Conclusions Femoral neck lengthening and DAR augmentation were performed in a growing dog affected by severe hip luxation and DAR insufficiency.

scholarly journals Hip morphology in elite golfers: asymmetry between lead and trail hips

2016 ◽  
Vol 50 (17) ◽  
pp. 1081-1086 ◽  
Author(s):  
Edward Dickenson ◽  
Philip O'Connor ◽  
Philip Robinson ◽  
Robert Campbell ◽  
Imran Ahmed ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Hip Morphology ◽  
Labral Tears ◽  
Articular Pathology ◽  
Α Angle ◽  
First Time ◽  
Cam Morphology ◽  
Pincer Morphology ◽  
Side Asymmetry ◽  
Head Neck

AimDuring a golf swing, the lead hip (left hip in a right-handed player) rotates rapidly from external to internal rotation, while the opposite occurs in the trail hip. This study assessed the morphology and pathology of golfers’ hips comparing lead and trail hips.MethodsA cohort of elite golfers were invited to undergo MRI of their hips. Hip morphology was evaluated by measuring acetabular depth (pincer shape=negative measure), femoral neck antetorsion (retrotorsion=negative measure) and α angles (cam morphology defined as α angle >55° anteriorly) around the axis of the femoral neck. Consultant musculoskeletal radiologists determined the presence of intra-articular pathology.Results55 players (mean age 28 years, 52 left hip lead) underwent MRI. No player had pincer morphology, 2 (3.6%) had femoral retrotorsion and 9 (16%) had cam morphology. 7 trail hips and 2 lead hips had cam morphology (p=0.026). Lead hip femoral neck antetorsion was 16.7° compared with 13.0° in the trail hip (p<0.001). The α angles around the femoral neck were significantly lower in the lead compared with trail hips (p<0.001), with the greatest difference noted in the anterosuperior portion of the head neck junction; 53° vs 58° (p<0.001) and 43° vs 47° (p<0.001). 37% of trail and 16% of lead hips (p=0.038) had labral tears.ConclusionsGolfers’ lead and trail hips have different morphology. This is the first time side-to-side asymmetry of cam prevalence has been reported. The trail hip exhibited a higher prevalence of labral tears.

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