Cargando…
A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis
A capital drop is a type of osteophyte at the inferomedial portion of the femoral head commonly observed in hip osteoarthritis (OA), secondary to developmental dysplasia. Capital drop itself is typically asymptomatic; however, symptoms can appear secondary to impinge against the acetabulum or to irr...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609413/ https://www.ncbi.nlm.nih.gov/pubmed/26504606 http://dx.doi.org/10.1155/2015/709608 |
_version_ | 1782395808582205440 |
---|---|
author | Takasago, Tomoya Goto, Tomohiro Tsutsui, Takahiko Kondo, Kenji Hamada, Daisuke Tonogai, Ichiro Wada, Keizo Sairyo, Koichi |
author_facet | Takasago, Tomoya Goto, Tomohiro Tsutsui, Takahiko Kondo, Kenji Hamada, Daisuke Tonogai, Ichiro Wada, Keizo Sairyo, Koichi |
author_sort | Takasago, Tomoya |
collection | PubMed |
description | A capital drop is a type of osteophyte at the inferomedial portion of the femoral head commonly observed in hip osteoarthritis (OA), secondary to developmental dysplasia. Capital drop itself is typically asymptomatic; however, symptoms can appear secondary to impinge against the acetabulum or to irritation of the surrounding tissues, such as nerves, vessels, and tendons. We present here a case of unilateral leg edema in a patient with hip OA, caused by a huge bone mass occurring at the inferomedial portion of the femoral head that compressed the femoral vessels. We diagnosed this bone mass as a capital drop secondary to hip OA after confirming that the mass occurred at least after the age of 63 years based on a previous X-ray. We performed early resection and total hip arthroplasty since the patient's hip pain was due to both advanced hip OA and compression of the femoral vessels; moreover, we aimed to prevent venous thrombosis secondary to vascular compression considering the advanced age and the potent risk of thrombosis in the patient. A large capital drop should be considered as a cause of vascular compression in cases of unilateral leg edema in OA patients. |
format | Online Article Text |
id | pubmed-4609413 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-46094132015-10-26 A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis Takasago, Tomoya Goto, Tomohiro Tsutsui, Takahiko Kondo, Kenji Hamada, Daisuke Tonogai, Ichiro Wada, Keizo Sairyo, Koichi Case Rep Orthop Case Report A capital drop is a type of osteophyte at the inferomedial portion of the femoral head commonly observed in hip osteoarthritis (OA), secondary to developmental dysplasia. Capital drop itself is typically asymptomatic; however, symptoms can appear secondary to impinge against the acetabulum or to irritation of the surrounding tissues, such as nerves, vessels, and tendons. We present here a case of unilateral leg edema in a patient with hip OA, caused by a huge bone mass occurring at the inferomedial portion of the femoral head that compressed the femoral vessels. We diagnosed this bone mass as a capital drop secondary to hip OA after confirming that the mass occurred at least after the age of 63 years based on a previous X-ray. We performed early resection and total hip arthroplasty since the patient's hip pain was due to both advanced hip OA and compression of the femoral vessels; moreover, we aimed to prevent venous thrombosis secondary to vascular compression considering the advanced age and the potent risk of thrombosis in the patient. A large capital drop should be considered as a cause of vascular compression in cases of unilateral leg edema in OA patients. Hindawi Publishing Corporation 2015 2015-10-04 /pmc/articles/PMC4609413/ /pubmed/26504606 http://dx.doi.org/10.1155/2015/709608 Text en Copyright © 2015 Tomoya Takasago et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Takasago, Tomoya Goto, Tomohiro Tsutsui, Takahiko Kondo, Kenji Hamada, Daisuke Tonogai, Ichiro Wada, Keizo Sairyo, Koichi A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis |
title | A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis |
title_full | A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis |
title_fullStr | A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis |
title_full_unstemmed | A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis |
title_short | A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis |
title_sort | huge capital drop with compression of femoral vessels associated with hip osteoarthritis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609413/ https://www.ncbi.nlm.nih.gov/pubmed/26504606 http://dx.doi.org/10.1155/2015/709608 |
work_keys_str_mv | AT takasagotomoya ahugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT gototomohiro ahugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT tsutsuitakahiko ahugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT kondokenji ahugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT hamadadaisuke ahugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT tonogaiichiro ahugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT wadakeizo ahugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT sairyokoichi ahugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT takasagotomoya hugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT gototomohiro hugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT tsutsuitakahiko hugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT kondokenji hugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT hamadadaisuke hugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT tonogaiichiro hugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT wadakeizo hugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis AT sairyokoichi hugecapitaldropwithcompressionoffemoralvesselsassociatedwithhiposteoarthritis |