Unusual case of mixed form of femoroacetabular impingement combined with nonspecific synovitis of the hip joint in a young adult-- A case report.

Abstract:

INTRODUCTION:Minimal bone changes in the acetabulum and/or proximal femur, through mechanism known as femoroacetabular impingement, during flexion, adduction and internal rotation lead to early contact between femoral head-neck junction and acetabular brim, in anterosuperior region. Each additional pathological substrate which further decreases specified clearance provokes earlier onset of femoroacetabular impingement symptoms. CASE REPORT:We presented a 20-year-old male patient with groin pain, limping, positive impingement test, radiological signs of mixed form of femoroacetabular impingement and unrecognized chronic hypertrophic synovitis with earlier development of clinical hip symptoms than it has been expected. Open surgery of the left hip was done. Two years after the surgery, patient was asymptomatic, painless, and free of motion, with stable x-rays. CONCLUSION:Hypertrophic synovial tissue further reduces the distance between the femoral head-neck junction and the acetabulum, leading to the earlier onset of femoroacetabular impingement symptoms. Surgical treatment is the method of choice.

journal_name

Vojnosanit Pregl

journal_title

Vojnosanitetski pregled

authors

Mladenović M,Micić I,Andjelković Z,Mladenović D,Stojiljković P

doi

10.2298/vsp131207109m

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

1132-5

issue

12

eissn

0042-8450

issn

2406-0720

journal_volume

72

pub_type

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