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Femoroacetabular impingement and its implications on range of motion: a case report

INTRODUCTION: Femoroacetabular impingement leads to limited hip motion, pain and progressive damage to the labrum. Assessment of the amount and location of excessive ossification can be difficult, and removal does not always lead to pain relief and an increase of function. One of the challenges ahea...

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Autores principales: Krekel, Peter R, Vochteloo, Anne JH, Bloem, Rolf M, Nelissen, Rob GHH
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3079675/
https://www.ncbi.nlm.nih.gov/pubmed/21477363
http://dx.doi.org/10.1186/1752-1947-5-143
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author Krekel, Peter R
Vochteloo, Anne JH
Bloem, Rolf M
Nelissen, Rob GHH
author_facet Krekel, Peter R
Vochteloo, Anne JH
Bloem, Rolf M
Nelissen, Rob GHH
author_sort Krekel, Peter R
collection PubMed
description INTRODUCTION: Femoroacetabular impingement leads to limited hip motion, pain and progressive damage to the labrum. Assessment of the amount and location of excessive ossification can be difficult, and removal does not always lead to pain relief and an increase of function. One of the challenges ahead is to discover why certain cases have poor outcomes. CASE PRESENTATION: The technical and clinical results of two consecutive arthroscopic shavings of an osseous cam protrusion are described in our patient, a 50-year-old Caucasian man with complaints of femoroacetabular impingement. At 12 weeks after the first arthroscopic shaving, our patient still experienced pain. Using a range of motion simulation system based on computed tomography images the kinematics of his hip joint were analyzed. Bone that limited range of motion was removed in a second arthroscopic procedure. At six months post-operatively our patient is almost pain free and has regained a range of motion to a functional level. CONCLUSION: This case demonstrates the relevance of range of motion simulation when the outcome of primary arthroscopic management is unsatisfactory. Such simulations may aid clinicians in determining the gain of a second operation. This claim is supported by the correlation of the simulations with clinical outcome, as shown in this case report.
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spelling pubmed-30796752011-04-20 Femoroacetabular impingement and its implications on range of motion: a case report Krekel, Peter R Vochteloo, Anne JH Bloem, Rolf M Nelissen, Rob GHH J Med Case Reports Case Report INTRODUCTION: Femoroacetabular impingement leads to limited hip motion, pain and progressive damage to the labrum. Assessment of the amount and location of excessive ossification can be difficult, and removal does not always lead to pain relief and an increase of function. One of the challenges ahead is to discover why certain cases have poor outcomes. CASE PRESENTATION: The technical and clinical results of two consecutive arthroscopic shavings of an osseous cam protrusion are described in our patient, a 50-year-old Caucasian man with complaints of femoroacetabular impingement. At 12 weeks after the first arthroscopic shaving, our patient still experienced pain. Using a range of motion simulation system based on computed tomography images the kinematics of his hip joint were analyzed. Bone that limited range of motion was removed in a second arthroscopic procedure. At six months post-operatively our patient is almost pain free and has regained a range of motion to a functional level. CONCLUSION: This case demonstrates the relevance of range of motion simulation when the outcome of primary arthroscopic management is unsatisfactory. Such simulations may aid clinicians in determining the gain of a second operation. This claim is supported by the correlation of the simulations with clinical outcome, as shown in this case report. BioMed Central 2011-04-10 /pmc/articles/PMC3079675/ /pubmed/21477363 http://dx.doi.org/10.1186/1752-1947-5-143 Text en Copyright ©2011 Krekel et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Krekel, Peter R
Vochteloo, Anne JH
Bloem, Rolf M
Nelissen, Rob GHH
Femoroacetabular impingement and its implications on range of motion: a case report
title Femoroacetabular impingement and its implications on range of motion: a case report
title_full Femoroacetabular impingement and its implications on range of motion: a case report
title_fullStr Femoroacetabular impingement and its implications on range of motion: a case report
title_full_unstemmed Femoroacetabular impingement and its implications on range of motion: a case report
title_short Femoroacetabular impingement and its implications on range of motion: a case report
title_sort femoroacetabular impingement and its implications on range of motion: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3079675/
https://www.ncbi.nlm.nih.gov/pubmed/21477363
http://dx.doi.org/10.1186/1752-1947-5-143
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