González GAJ, Ochoa CR

Language: Spanish
References: 8
Page: 56-60
PDF size: 193.80 Kb.

ABSTRACT

Case report: 46-year-old female who claimed right inguinal pain for about one month, with functional limitation of the extremity and pain during the external rotation of the right hip, C-sign positive, with no radiographic signs of coxofemoral impingement, with articular space conservated; a hip arthroresonance was performed, with the preoperative diagnosis of complete anterosuperior acetabular labral tear Czerny and Hoffman stage IIIa. Objective: To share the value and precision that we have for the diagnosis and the treatment of the acetabular labral tears with arthroscopic management. Results: A diagnostic and therapeutic right hip arthroscopy was done, with the finding of synovitis of the acetabular rim, an anterosuperior acetabular labrum protrusion, with no detachment; during the hip manipulation there was no impingement with the femoral head. Synovectomy and acetabular labral tear repair was done by debridement and thermoplasty of the lesion, with posterior follow-up. Conclusions: We do not find concordance between the stadification of the acetabular labral tear by hip arthroresonance and the arthroscopic findings. We must be cautious when establishing a preoperative diagnosis based on clinical and imaging data.

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