Management of a challenging acetabular osteoid osteoma with femoroacetabular impingement: A rare case report

Management of a challenging acetabular osteoid osteoma with femoroacetabular impingement: A rare case report

Blog Article

Background: The acetabular osteoid osteoma (AOO) is rare and poses challenges in the diagnosis and surgical approach.AOO presenting with femoroacetabular impingement (FAI) is further infrequent.Case report: We report an 18-year old college-level athlete who presented with left hip pain and limp for two years.

He had mild tenderness over the anterior hip with cubs foam finger wasting of gluteal muscles, the range of motion of the hip was terminally limited, with a painful and restricted flexion-internal rotation.The pelvic radiograph showed signs of FAI with a CAM-morphology without any obvious lesion.MRI pelvis showed a lytic lesion with nidus in the left acetabulum, typical of osteoid osteoma.

He underwent safe surgical dislocation (SSD), CT-navigated trans-articular excision, and osteochondroplasty.The patient remained symptom-free at a 4-years follow-up.Conclusion: An occurrence of AOO with FAI is rare and can be successfully treated with SSD and redken shades 9gi intraoperative real-time CT navigation.

This approach helps address both the pathologies in a single sitting and has the advantages of preciseness and minimal radiation.