Neck of Femur Fracture Secondary to Synovial Chondromatosis: A Case Report and Literature Review

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Neck of Femur Fracture Secondary to Synovial Chondromatosis: A Case Report and Literature Review

Authors
Type
Published Article
Journal
Open journal of clinical and medical case reports
Publication Date
July 2016
Volume
2
Issue
14
Source
MyScienceWork
Keywords
License
Green

Abstract

A 28 years old lady presented with complaint of chronic left hip pain for 4 years, which increased with exertion and relieved with rest and medication and referred to the left knee. There was no history of fever, pain at any other site or difficulty in walking. On local examination there was mild tenderness over left anterior hip associated with slight restriction of terminal movements. Plain radiograph of pelvis with bilateral hip joints revealed erosion on the inferomedial aspect of the femoral neck. MRI revealed a synovial lesion around neck. Needle biopsy was done from this site and soft tissue mass under C-arm guidance. Report of the biopsy was inconclusive. Post biopsy patient sustained trivial trauma while ambulation followed by severe pain in the affected hip. Plain radiograph revealed fracture neck femur. An excision biopsy with uncemented modular bipolar hemiarthroplasty was planned. Intraoperatively multiple rice bodies were seen in the left hip joint. Synovial lesion located in the inferior aspect had eroded the head and neck of the femur. Frozen section revealed synovial chondromatosis. After excision biopsy of the lesion, uncemented modular bipolar hemiarthroplasty was done. Postoperative course and follow up was uneventful. The purpose of this case report is to bring out a very rare presentation of synovial chondromatosis of hip.

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