Acetabular Paralabral Cyst Causing Obturator Nerve Compression in the Setting of Femoroacetabular Impingement Syndrome: A Case Report.

Autor:	Jafarnia J; Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, Texas., Wininger AE; Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, Texas., Holderread BM; Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, Texas., Harris JD; Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, Texas., Echo A; Department of Plastic and Reconstructive Surgery, Houston Methodist Hospital, Houston, Texas.
Jazyk:	angličtina
Zdroj:	JBJS case connector [JBJS Case Connect] 2022 Dec 02; Vol. 12 (4). Date of Electronic Publication: 2022 Dec 02 (Print Publication: 2022).
DOI:	e22.00401
Abstrakt:	Case: Large acetabular paralabral cysts can cause compression of the surrounding neurovascular structures leading to sensory and motor deficits. We present a 68-year-old man with obturator nerve denervation from a paralabral cyst secondary to a labral tear associated with femoroacetabular impingement syndrome. Resolution of symptoms and return to full activities were achieved at 3 months and maintained beyond 1 year through open cyst excision, obturator neurolysis, arthroscopic femoral osteoplasty, and labral repair in the same surgical setting. The patient had a successful clinical outcome, with pain and dysfunction resolution. Conclusion: Large paralabral cysts may cause obturator nerve compression, which can be successfully treated with open nerve decompression and arthroscopic treatment of labral pathology. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B945). (Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze:	MEDLINE
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