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Intra-Articular Osteochondroma of the Hip. Total Hip Replacement After Tumor Resection in a Young adult - A Case Report.
Fuentes, Gustavo Octavio Arizpe; Fuentes, Ernesto Javier Arizpe; Sonora, Sergio Gilberto Esquivel; Vertti, Rubén Daniel Arellano Pérez.
Afiliação
  • Fuentes GOA; Department of Orthopaedic Surgery, General Hospital Nueva Rosita, Nueva Rosita, Coahuila, Mexico.
  • Fuentes EJA; Department of Orthopaedic Surgery, Autonomous University of Coahuila, Faculty of Medicine, Torreón, Coahuila, Mexico. Department of Anatomopathology, General Hospital of Múzquiz Coahuila, Carretera Múzquiz / Palau Km 9 s/n, Mexico.
  • Sonora SGE; Department of Orthopaedic Surgery, Autonomous University of Coahuila, Faculty of Medicine, Torreón, Coahuila, Mexico. Department of Anatomopathology, General Hospital of Múzquiz Coahuila, Carretera Múzquiz / Palau Km 9 s/n, Mexico.
  • Vertti RDAP; Department of Orthopaedic Surgery, Autonomous University of Coahuila, Faculty of Medicine, Torreón, Coahuila, Mexico. Department of Anatomopathology, General Hospital of Múzquiz Coahuila, Carretera Múzquiz / Palau Km 9 s/n, Mexico.
J Orthop Case Rep ; 14(8): 42-47, 2024 Aug.
Article em En | MEDLINE | ID: mdl-39157469
ABSTRACT

Introduction:

Osteochondroma is the most common benign bone tumor (20-50%). It is located predominantly in the metaphysis of the long bones, and much less frequently, the proximal femur and acetabulum. Osteochondroma can eventually lead to hip osteoarthritis and limit patients' functional activities. Determining optimal treatment can be difficult due to the high risk of avascular necrosis in surgical resections. Case Report A 44-year-old male from Sabinas Coahuila, Mexico, a priest by profession, who presents for consultation with right inguinal pain of 18 months' duration. The patient had been treated conservatively with rest, non-steroidal anti-inflammatory drugs, and physical therapy without showing improvement in his symptoms. The anteroposterior radiograph of the pelvis and axial tomography showed an oval bone excrescence with well-defined margins in the acetabular and intra-articular region of the hip, which caused a decrease in joint space but without soft tissue infiltration. Tumor resection and total hip replacement were the treatment options. The histopathological study concluded an osteochondroma. After 25 months of post-operative follow-up, radiographic studies show no evidence of lesion recurrence. The functional improvement is 98 points on the Harris scale; the patient typically performs his daily living and work activities.

Conclusion:

Treating intra-articular osteochondroma of the hip can be challenging for the orthopedic surgeon. For osteochondroma resulting in secondary osteoarthrosis of the hip joint, total hip replacement should be considered an effective method to restore function and assist in returning the patient to previous activities. Thorough pre-operative planning is mandatory to prevent intra- or immediate post-operative risk.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Orthop Case Rep Ano de publicação: 2024 Tipo de documento: Article País de afiliação: México País de publicação: Índia
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Orthop Case Rep Ano de publicação: 2024 Tipo de documento: Article País de afiliação: México País de publicação: Índia