A rare case of osteoblastoma in the femoral head combined with cam-type femoroacetabular impingement: A case report

Author:

Morita Akira1ORCID,Kobayashi Naomi2ORCID,Choe Hyonmin1,Tezuka Taro1,Kawabata Yusuke1,Hayashida Kenta1,Higashihira Shota1,Kato Ikuma3,Inaba Yutaka1

Affiliation:

1. Department of Orthopaedic Surgery, Yokohama City University, Yokohama, Japan

2. Department of Orthopaedic Surgery, Yokohama City University Medical Center, Yokohama, Japan

3. Department of Molecular Pathology, School of Medicine, Yokohama City University, Yokohama, Japan

Abstract

Osteoblastoma is a relatively rare benign bone-forming tumor accounting for less than 1% of all bone tumors. This report describes a patient with an osteoblastoma in the femoral head complicated by coexistence of femoroacetabular impingement. A 25-year-old male rugby football player complained of severe right hip pain after an injury during rugby practice. The pain became progressively worse despite resting from sports activity and rehabilitation for 4 months. The image inspection revealed bone tumor complicated by cam-type femoroacetabular impingement and a labral injury. Hip arthroscopic surgery was planned using a navigation system and a three-dimensional model for both complete debridement and cam resection. The tumor was resected by open surgery using a posterior approach. The bone tumor was diagnosed histopathologically as an osteoblastoma. The patient’s symptoms improved markedly after surgery, with no evidence of local tumor recurrence or hip arthritis 1 year later.

Publisher

SAGE Publications

Subject

General Medicine

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