Arthroscopic refixation of an Os acetabuli: A special case of symptomatic femoroacetabular impingement in a professional athlete

被引：1

作者：

Mazzucchelli R.A. ^{[1
]}

Schär S. ^{[2
]}

Erhardt J.B. ^{[1
]}

机构：

[1] Departement Orthopädie, Spitalregion Rheintal Werdenberg Sarganserland, Spitalstraße 44, Grabs

[2] Klinik für Radiologie und Nuklearmedizin, Kantonsspital St. Gallen, Rorschacherstraße 95, St. Gallen

来源：

Arthroskopie | 2018年 / 31卷 / 3期

关键词：

Acetabular defect; Cam impingement; Center-edge angle; Hip arthroscopy; Pistol grip deformity;

D O I：

10.1007/s00142-018-0198-6

中图分类号：

学科分类号：

摘要：

This article reports the case of a 23-year-old professional floorball goalkeeper who complained of worsening left-sided hip and groin pain. Conventional x‑ray and magnetic resonance imaging (MRI) showed femoroacetabular impingement (FAI) with cam deformity and a large os acetabuli covering 13% of the joint surface. The patient underwent arthroscopic joint preservation surgery with osteochondroplasty of the femoral neck. The rim fragment was arthroscopically debrided and fixed. The patient could resume competitive physical activity without restrictions 6 months postoperatively. The os acetabuli showed clear signs of consolidation in the follow-up x‑ray. © 2018, Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

引用

页码：263 / 266

页数：3

共 10 条

[1]

Benali Y., Katthagen B., Hip subluxation as a complication of arthroscopic debridement, Arthroscopy, 25, 4, pp. 405-407, (2009)

[2]

Epstein N., Safran M., Stress fracture of the acetabular rim: arthroscopic reduction and internal fixation, J. Bone Joint Surg. Am., 91, pp. 1480-1486, (2009)

[3]

Ganz R., Parvizi J., Beck M., Leunig M., Notzli H., Siebenrock K., Femoroacetabular impingement – a cause for osteoarthritis of the hip, Clin. Orthop. Relat. Res., 417, pp. 112-120, (2003)

[4]

Klaue K., Durnin C., Ganz R., The acetabular rim syndrome, J. Bone Joint Surg. Br., 73B, pp. 423-429, (1991)

[5]

Larson C., Stone R., The rarely encountered rim fracture that contributes to both femoroacetabular impingement and hip stability: a report of 2 cases of arthroscopic partial excision and internal fixation, Arthroscopy, 27, 7, pp. 1018-1022, (2011)

[6]

Martinez A., Li S., Ganz R., Beck M., Os acetabuli in femoro-acetabular impingement: stress fracture or unfused secondary ossification centre of the acetabular rim?, Hip Int, 16, 4, pp. 281-286, (2006)

[7]

Matsuda D., Acute iatrogenic dislocation following hip impingement arthroscopic surgery, Arthroscopy, 25, 4, pp. 400-404, (2009)

[8]

Perez Carro L., Sa Rodrigues A., Ortiz Castillo A., Patnaik S., Sumillera Garcia M., Fernandez A., Clemente A., Suture-on-screw technique for os acetabuli fixation and labral repair, Arthrosc Tech, 6, 1, pp. 107-112, (2017)

[9]

Rafols C., Monckeberg J., Numair J., Unusual bilateral rim fracture in femoroacetabular impingement, Case Rep Orthop, (2015)

[10]

Ranawat A., McClincy M., Sekiya J., Anterior dislocation of the hip after arthroscopy in a patient with capsular laxity of the hip, J. Bone Joint Surg. Am., 91, 1, pp. 192-197, (2009)

← 1 →