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Acta clinica Croatica, Vol. 60. No. 4., 2021.

Case report

https://doi.org/10.20471/acc.2021.60.04.28

Hip Arthroscopy: Residual Cam Deformity Combined with Loose Bony Fragment in Hip Capsule

Tomislav Čengić ; Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia
Danijel Jurković ; Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Hana Hajsok ; Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Tomislav Smoljanović ; Department of Orthopedic Surgery, Zagreb University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Luka Novosel ; Department of Radiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Krešimir Rotim ; University of Applied Health Sciences, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia; Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Domagoj Delimar ; Department of Orthopedic Surgery, Zagreb University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia

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Abstract

Hip arthroscopy is a minimally invasive, effective and innovative orthopedic procedure
with a relatively low rate of complications. In our patient, residual cam deformity and a bone
fragment that remained in the front hip capsule after hip arthroscopy performed three years before
caused thigh numbness, muscle fasciculations, and paresthesia. It was assumed that the loose bony
fragment remained following burring on prior procedure. During hip flexion, neural structures were
compressed and caused the mentioned symptoms. Revision hip arthroscopy was performed and the
loose fragment in addition to residual cam deformity was removed. Resolution of pain and anterior
thigh numbness was reported after the revision surgery.

Keywords

Hip arthroscopy; Arthroscopy; Cam lesion; Loose fragment; Thigh numbness; Muscle fasciculations; Paresthesia

Hrčak ID:

275558

URI

https://hrcak.srce.hr/275558

Publication date:

1.12.2021.

Article data in other languages: croatian

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