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Treatment of intracapsular femoral neck lesions: aggressive or conservative surgery?

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Abstract

Benign fibrous histiocytomas (BFHs) and non-ossifying fibromas (NOFs) are benign bone tumors that are clinically different, but histologically similar. Most benign lesions are treated with curettage and grafting; however, some misdiagnosed cases are treated with more aggressive procedures, including arthroplasty. Herein, we present a 21-year-old patient that presented with a 1-year history of right hip pain. Anteroposterior X-ray showed a centrally located lesion in the femoral neck that was intracapsular and localized subcortically. To the best of our knowledge, the literature does not include any reposts of BFH or NOF localized at the intracapsular hip. In addition, localization of and treatment options for intracapsular hip lesions are clarified.

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References

  1. Mirra JM (1989) Bone tumors, vol 1. Lea and Febiger, Philadelphia, pp 692–719

    Google Scholar 

  2. Hase T, Miki T (2000) Autogenous bone marrow graft to non-ossifying fibroma with a pathologic fracture. Arch Orthop Trauma Surg 120:458–459

    Article  CAS  PubMed  Google Scholar 

  3. Resnick D (2002) Tumors and tumor-like lesions of bone. Imaging and pathology of specific lesions. In: Resnick D (ed) Diagnosis of bone and joint disorders, 4th edn. WB Saunders, Philadelphia, p 3921

    Google Scholar 

  4. Arata MA, Peterson HA, Dahlin DC (1981) Pathological fractures through non-ossifying fibromas. J Bone Joint Surg Am 63(6):980–988

    CAS  PubMed  Google Scholar 

  5. Jaffe HL, Lichtenstein L (1942) Non-osteogenic fibroma of bone. Am J Pathol 18(2):205–221

    CAS  PubMed Central  PubMed  Google Scholar 

  6. Gitelis S, Wilkins R, Conrad EU (1996) Benign bone tumors. Instr Course Lect 45:425–446

    CAS  PubMed  Google Scholar 

  7. Hoeffel C, Panuel M, Plenat F, Mainard L, Hoeffel JC (1999) Case report Pathological fracture in non-ossifying fibroma with histological features simulating aneurysmal bone cyst. Eur Radiol 9(4):669–671

    Article  CAS  PubMed  Google Scholar 

  8. Fillingham YA, Lenart BA, Gitelis S (2012) Function after injection of benign bone lesions with a bioceramic. Clin Orthop Relat Res. doi:10.1007/s11999-012-2251-5

    PubMed Central  PubMed  Google Scholar 

  9. Unni KK (1996) Dahlin’s bone tumors, 5th edn. Lippincott-Rave, Philadelphia

    Google Scholar 

  10. Clarke BE, Xipell JM, Thomas DP (1985) Benign fibrous histiocytoma of bone. Am J Surg Pathol 9(11):806–815

    Article  CAS  PubMed  Google Scholar 

  11. Niemeyer P, Ludwig K, Werner M, Bernd L, Parsch D (2004) Case report: reconstruction of the pelvic ring using an autologous free non-vascularized fibula graft in a patient with benign fibrous histiocytoma. World J Surg Oncol 2:38

    Article  PubMed Central  PubMed  Google Scholar 

  12. Dion N, Wengers DE, Sim FH (2001) Benign fibrous and fibrohistiocytic lesions of bone. Curr Orthop 15:31–40

    Article  Google Scholar 

  13. Greenspan A, Remagen W (1998) Differential diagnosis of tumors and tumor-like lesions of bones and joints, 1st edn. Lippincott-Raven, Philadelphia

    Google Scholar 

  14. Gilula LA, Murphy WA, Tailor CC, Patel RB (1979) Computed tomography of the osseous pelvis. Radiology 132(1):107–114

    Article  CAS  PubMed  Google Scholar 

  15. Köster O, Distelmaier W, Lackner K (1984) Computed tomographic control of the conventional X-ray findings in space-occupying lesions of the bony pelvis. Rofo 141(2):148–154

    Article  PubMed  Google Scholar 

  16. van Giffen NH, van Rhijn LW, van Ooij A, Cornips E, Robben SG, Vermeulen A et al (2003) Benign fibrous histiocytoma of the posterior arch of C1 in a 6-year-old boy: a case report. Spine (Phila Pa 1976) 28(18):359–363

    Article  Google Scholar 

  17. Heo MS, Cho HJ, Kwon KJ, Lee SS, Choi SC (2004) Benign fibrous histiocytoma in the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97(2):276–280

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey

    Hasan Havitçioğlu, Çağdaş Biçen & Onur Hapa

  2. Department of Radiology, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey

    Ali Balcı

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  1. Hasan Havitçioğlu
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  2. Çağdaş Biçen
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  3. Onur Hapa
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  4. Ali Balcı
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Correspondence to Onur Hapa.

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Havitçioğlu, H., Biçen, Ç., Hapa, O. et al. Treatment of intracapsular femoral neck lesions: aggressive or conservative surgery?. Musculoskelet Surg 98, 251–254 (2014). https://doi.org/10.1007/s12306-012-0236-x

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  • DOI: https://doi.org/10.1007/s12306-012-0236-x

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