Jung Heung-Tae, Hwang Deuk-Soo, Jeon Yoo-Sun, Kim Pil-Sung
Department of Orthopedic Surgery, Busan Bumin Hospital, Busan, Korea.
Department of Orthopedic Surgery, Chungnam National University School of Medicine, Daejeon, Korea.
Hip Pelvis. 2015 Mar;27(1):43-8. doi: 10.5371/hp.2015.27.1.43. Epub 2015 Mar 31.
A 16-year old male patient visited the hospital complaining of inguinal pain and internal snapping of right hip joint. In physical examination, the patient was presumed to be diagnosed femoroacetabular impingement (FAI) and acetabular labral tear. In radiologic evaluation, FAI and acetabular labral tear were identified and bony tumor associated with internal snapping was found on the posteromedial portion of the femoral neck. Despite of conservative treatment, there was no symptomatic improvement. So arthroscopic labral repair, osteoplasty and resection of bony tumor were performed. The tumor was pathologically diagnosed as osteochondroma through biopsy and all symptoms improved after surgery. There was no recurrence, complication or abnormal finding during 1 year follow up. Osteochondroma located at posteromedial portion of femoral neck can be a cause of internal snapping hip and although technical demands are challenging, arthroscopic resection can be a good treatment option.
一名16岁男性患者因腹股沟疼痛和右髋关节内弹响前来医院就诊。体格检查时，该患者被初步诊断为股骨髋臼撞击症（FAI）和髋臼盂唇撕裂。影像学评估发现了FAI和髋臼盂唇撕裂，并在股骨颈后内侧部分发现了与内弹响相关的骨肿瘤。尽管进行了保守治疗，但症状并未改善。因此，进行了关节镜下盂唇修复、骨成形术和骨肿瘤切除术。通过活检，该肿瘤病理诊断为骨软骨瘤，术后所有症状均得到改善。随访1年期间未出现复发、并发症或异常发现。位于股骨颈后内侧部分的骨软骨瘤可能是髋关节内弹响的一个原因，尽管技术要求具有挑战性，但关节镜下切除术可能是一种良好的治疗选择。
