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Atypical hip pain: coexistence of femoroacetabular impingement (FAI) and osteoid osteoma

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

The objective of this article was to emphasize the importance of including less common causes of hip pain in a differential diagnosis, particularly when clinical and radiographic variables are atypical. This article presents the case of a 52-year-old patient with a history of progressive hip pain resulting from the coexistence of both a femoroacetabular impingement (FAI) and an intraarticular osteoid osteoma. The intraarticular osteoid osteoma was initially overlooked due to its unremarkable features on radiographic and resonance imaging. Consequently, the patient was surgically treated for FAI with only partial relief. An osteolytic nidus characteristic of osteoid osteoma was discovered only 1.5 years following surgery. The patient was subsequently treated for osteoid osteoma with anti-inflammatories, after which his pain began to resolve. The patient was completely pain free after 7 months.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standards

The manuscript does not contain clinical studies. Informed consent was obtained by the included patient, and details that might disclose the subject’s identity were omitted.

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Authors and Affiliations

  1. Division of Orthopedic Surgery, Department of Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada

    Kamaljeet Banga, Antonella Racano, Olufemi R. Ayeni & Benjamin Deheshi

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  1. Kamaljeet Banga
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  2. Antonella Racano
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  3. Olufemi R. Ayeni
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  4. Benjamin Deheshi
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Correspondence to Benjamin Deheshi.

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Banga, K., Racano, A., Ayeni, O.R. et al. Atypical hip pain: coexistence of femoroacetabular impingement (FAI) and osteoid osteoma. Knee Surg Sports Traumatol Arthrosc 23, 1571–1574 (2015). https://doi.org/10.1007/s00167-014-2985-6

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  • DOI: https://doi.org/10.1007/s00167-014-2985-6

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