The goals of this clinical case are to discuss the causes of a hip pain, to discuss the different therapeutic options, and to expose the posterior mini-invasive approach.
- 68 Y.O active female
- BMI = 24
- Her complaint is a disabling left hip pain evolving for 4 years
- She walks without a cane but has a dodging limp
- On physical examination, she presents a positive FADIR test and a positive FABER test. No signs of tendinosis are associated.
In front of those disabling symptoms, a CT-scan is prescribed
What pathology can be diagnosed?
- Tonnis 1 Hip osteoarthritis ✔️
- Coxa profunda ✔️
What are the reasons of the patient’s condition?
- Femoroacetabular impingement Pincer type ✔️
- Anterior hip osteoarthritis ✔️
Gosvig KK, Jacobsen S, Sonne-Holm S, Palm H, Troelsen A. Prevalence of malformations of the hip joint and their relationship to sex, groin pain, and risk of osteoarthritis: a population-based survey. J Bone Joint Surg Am. 2010 May;92(5):1162-9. doi: 10.2106/JBJS.H.01674. PMID: 20439662.
How would you manage this condition?
- Total Hip Replacement ✔️
de Boer SF, Bouma HW, Pollard TC, Van Kampen PM, Carr AJ, Hogervorst T. Coxa recta, coxa profunda and abductor ratio: hip morphology variants compared in an arthroplasty and control population. Hip Int. 2013 May-Jun;23(3):287-92. doi: 10.5301/hipint.5000012. Epub 2013 Feb 14. PMID: 23417530.
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