Femoroacetabular impingement and its implications on range of motion: A case report

Femoroacetabular impingement and its implications on range of motion: A case report

Krekel, P.R.
Vochteloo, A.J.H.
Bloem, R.M.
Nelissen, R.G.H.H.

Electrical Engineering, Mathematics and Computer Science

Computer Graphics

2011-04-10

Introduction :Femoroacetabular impingement leads to limited hip motion, pain and progressive damage to the labrum. Assessment of the amount and location of excessive ossification can be difficult, and removal does not always lead to pain relief and an increase of function. One of the challenges ahead is to discover why certain cases have poor outcomes. Case presentation: The technical and clinical results of two consecutive arthroscopic shavings of an osseous cam protrusion are described in our patient, a 50-year-old Caucasian man with complaints of femoroacetabular impingement. At 12 weeks after the first arthroscopic shaving, our patient still experienced pain. Using a range of motion simulation system based on computed tomography images the kinematics of his hip joint were analyzed. Bone that limited range of motion was removed in a second arthroscopic procedure. At six months post-operatively our patient is almost pain free and has regained a range of motion to a functional level. Conclusion: This case demonstrates the relevance of range of motion simulation when the outcome of primary arthroscopic management is unsatisfactory. Such simulations may aid clinicians in determining the gain of a second operation. This claim is supported by the correlation of the simulations with clinical outcome, as shown in this case report.

http://resolver.tudelft.nl/uuid:189bde5d-17e3-4d5a-98d9-fc7c3912bc5e

https://doi.org/10.1186/1752-1947-5-143

BioMed Central

1752-1947

http://www.jmedicalcasereports.com/content/5/1/143

Journal of Medical Case Reports, 5, 2011

Institutional Repository

journal article

© 2011 The Author(s). Licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.