Daud Muhammad Hafiz, Murata Yoichi, Tayag Chino, Uchida Soshi
Department of Orthopaedic Surgery and Sports Medicine, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan.
Hip Pelvis. 2025 Jun 1;37(2):164-169. doi: 10.5371/hp.2025.37.2.164.
Femoral head fracture malunions resulting in femoroacetabular impingement syndrome are rare complications after the occurrence of femoral head fractures. A 26-year-old female, with a motor vehicle accident history two years prior to our consultation, experienced multiple injuries, including a posterior right dislocation with a femoral head fracture. Although the fracture achieved a successful union with no evidence of osteoarthritis or avascular necrosis, the patient continued to experience hip pain and limited range of motion. We report on a case of femoral head fracture malunion that led to femoroacetabular impingement syndrome. In this case, arthroscopic labral repair, osteoplasty of the femoral head malunion, and capsular closure were performed. At three years post-surgery, the patient was asymptomatic and reported significant improvements in validated hip scores. Arthroscopic management of secondary femoroacetabular impingement is minimally invasive, safe, and beneficial in the treatment of femoral head malunion of the hip.
股骨头骨折畸形愈合导致股骨髋臼撞击综合征是股骨头骨折发生后的罕见并发症。一名26岁女性，在我们会诊前两年有机动车事故史，经历了多处损伤，包括右髋关节后脱位伴股骨头骨折。尽管骨折成功愈合，且无骨关节炎或缺血性坏死迹象，但患者仍持续存在髋关节疼痛和活动范围受限。我们报告一例因股骨头骨折畸形愈合导致股骨髋臼撞击综合征的病例。在此病例中，进行了关节镜下盂唇修复、股骨头畸形愈合的骨成形术和关节囊闭合术。术后三年，患者无症状，且经验证的髋关节评分有显著改善。关节镜治疗继发性股骨髋臼撞击症对髋关节股骨头畸形愈合的治疗具有微创、安全且有益的特点。
