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...

Descripción completa

Detalles Bibliográficos
Autores principales: Takasago, Tomoya, Goto, Tomohiro, Tsutsui, Takahiko, Kondo, Kenji, Hamada, Daisuke, Tonogai, Ichiro, Wada, Keizo, Sairyo, Koichi
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