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Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2022

Open Access 01-12-2022 | Hip Dislocation | Case report

Dual medial and anterior approach for excision of extraosseous synovial hip osteochondroma: a case report

Authors: Mohamad Issa, Ahmad Naja, Serge Sultanem, Charbel Elias, Said Saghieh

Published in: Journal of Medical Case Reports | Issue 1/2022

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Abstract

Background

Osteochondromas are the most common benign bone tumors occurring near the end of long bones. In this case report, we demonstrate the successful treatment of a proximal femoral osteochondroma in a pediatric patient excised through a dual medial and anterior approach with no hip dislocation.

Case presentation

We present the case of a white Arab 14-year-old boy with chronic hip pain and inability to ambulate. He failed conservative treatment and was referred to us after X-rays revealed two osseous masses. He was diagnosed with an intra-articular hip osteochondroma confirmed on magnetic resonance imaging and computed tomography scan. He was treated surgically with excision using two incisions: Smith-Petersen approach and Ferguson approach.

Conclusion

This case presents the successful resection of a symptomatic pediatric proximal femoral osteochondroma, using dual medial and anterior approaches without the need for hip dislocation. This was optimal for both the safety and accessibility of this unusual condition.
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Metadata
Title
Dual medial and anterior approach for excision of extraosseous synovial hip osteochondroma: a case report
Authors
Mohamad Issa
Ahmad Naja
Serge Sultanem
Charbel Elias
Said Saghieh
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Hip Dislocation
Published in
Journal of Medical Case Reports / Issue 1/2022
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-022-03724-w

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