Ha Alex, Motamedi Daria, Sweetwood Kevin
School of Medicine, University of California-San Francisco, 533 Parnassus Ave, San Francisco, CA.
Department of Radiology, University of California-San Francisco, 513 Parnassus Ave, Room S257, Box 0628, San Francisco, CA 94143.
Radiol Case Rep. 2024 Aug 2;19(10):4474-4477. doi: 10.1016/j.radcr.2024.07.031. eCollection 2024 Oct.
This case report describes the evaluation, surgical intervention, and postoperative outcome of a 36-year-old male patient with chronic left hip pain following a rectus femoris injury which persisted despite conservative management and intra-articular steroid injection. Imaging revealed prominent ossification extending from the anterior inferior iliac spine at the proximal rectus femoris insertional, a femoral cam lesion, and tearing of the superior through anterior labrum, compatible with both subspine and femoroacetabular impingement. Subsequent arthroscopic femoroplasty, acetabuloplasty, labral repair, and excision of rectus femoris ossification provided lasting symptomatic relief. Identification of lesions resulting in subspine impingement is essential in the preoperative work up of patients with hip pain to ensure appropriate surgical management and optimize postoperative outcomes.
本病例报告描述了一名36岁男性患者的评估、手术干预及术后结果。该患者因股直肌损伤后出现慢性左髋疼痛，尽管采取了保守治疗和关节内注射类固醇，疼痛仍持续存在。影像学检查显示，在股直肌近端附着处，从髂前下棘延伸出明显的骨化，存在股骨凸轮病变，以及上盂唇至前盂唇撕裂，符合髋臼缘下撞击和股骨髋臼撞击综合征。随后的关节镜下股骨成形术、髋臼成形术、盂唇修复及股直肌骨化切除术提供了持久的症状缓解。在髋部疼痛患者的术前检查中，识别导致髋臼缘下撞击的病变对于确保适当的手术管理和优化术后结果至关重要。
