Femoroacetabular impingement as a complication of acetabular fracture fixation

Autor: David A. Zuelzer, Christopher B. Hayes, Raymond D. Wright, Stephen T. Duncan
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Trauma Case Reports, Vol 18, Iss , Pp 56-59 (2018)
Druh dokumentu: article
ISSN: 2352-6440
DOI: 10.1016/j.tcr.2018.07.003
Popis: Case: We present the case of a thirteen-year-old female who sustained a posterior wall acetabular fracture dislocation. She underwent urgent closed reduction and subsequent uncomplicated open reduction and internal fixation. Post reduction computed tomography demonstrated a concentrically reduced hip joint with no evidence of femoroacetabular impingement (FAI). She subsequently healed her fracture and returned to running activities; however, one year later presented with aching pain in her thigh. Radiographs demonstrated the development of a large osseous prominence on her anterolateral femoral neck consistent with femoroacetabular impingement. Based on these findings she was evaluated by a hip preservation specialist. She subsequently underwent successful hip arthroscopy for labral repair and femoral osteochondroplasty. She was eventually able to return to running sports with little pain. Summary: We present a case of FAI presenting as a complication of acetabular fracture fixation. This should be discussed with patients presenting with traumatic hip dislocations as a possible complication of surgical fixation or possibly of the injury itself. Keywords: Acetabular fracture, Femoroacetabular impingement, Hip arthroscopy, Complication
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