Unusual Bilateral Rim Fracture in Femoroacetabular Impingement

This is a report of one case of bilateral acetabular rim fracture in association with femoroacetabular impingement (FAI), which was treated with a hip arthroscopic procedure, performing a partial resection, a labral reinsertion, and a subsequential internal fixation with cannulated screws. Up to da...

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Main Authors: Claudio Rafols, Juan Edo Monckeberg, Jorge Numair
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/210827
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author Claudio Rafols
Juan Edo Monckeberg
Jorge Numair
author_facet Claudio Rafols
Juan Edo Monckeberg
Jorge Numair
author_sort Claudio Rafols
collection DOAJ
description This is a report of one case of bilateral acetabular rim fracture in association with femoroacetabular impingement (FAI), which was treated with a hip arthroscopic procedure, performing a partial resection, a labral reinsertion, and a subsequential internal fixation with cannulated screws. Up to date, there are in the literature only two reports of rim fracture and “os acetabuli” in association with FAI. In the case we present, the pincer and cam resection were performed without complications; the technique used was published previously. With this technique the head of the screw lays hidden by the reattached labrum. We removed partially the fractured rim fragment and the internal fixation of the remaining portion was achieved with a screw. In the event of a complete resection of the fragment, it would have ended with a LCE angle of 18° and a high probability of hip instability. We believe that this bilateral case helps establish the efficacy and reproducibility of the technique described by Larson.
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spelling doaj-art-5e513a2baf134808bd414d0fd222adae2025-02-03T01:09:48ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/210827210827Unusual Bilateral Rim Fracture in Femoroacetabular ImpingementClaudio Rafols0Juan Edo Monckeberg1Jorge Numair2MEDS Clinical Sport Center, 8320000 Santiago, ChileMEDS Clinical Sport Center, 8320000 Santiago, ChileMEDS Clinical Sport Center, 8320000 Santiago, ChileThis is a report of one case of bilateral acetabular rim fracture in association with femoroacetabular impingement (FAI), which was treated with a hip arthroscopic procedure, performing a partial resection, a labral reinsertion, and a subsequential internal fixation with cannulated screws. Up to date, there are in the literature only two reports of rim fracture and “os acetabuli” in association with FAI. In the case we present, the pincer and cam resection were performed without complications; the technique used was published previously. With this technique the head of the screw lays hidden by the reattached labrum. We removed partially the fractured rim fragment and the internal fixation of the remaining portion was achieved with a screw. In the event of a complete resection of the fragment, it would have ended with a LCE angle of 18° and a high probability of hip instability. We believe that this bilateral case helps establish the efficacy and reproducibility of the technique described by Larson.http://dx.doi.org/10.1155/2015/210827
spellingShingle Claudio Rafols
Juan Edo Monckeberg
Jorge Numair
Unusual Bilateral Rim Fracture in Femoroacetabular Impingement
Case Reports in Orthopedics
title Unusual Bilateral Rim Fracture in Femoroacetabular Impingement
title_full Unusual Bilateral Rim Fracture in Femoroacetabular Impingement
title_fullStr Unusual Bilateral Rim Fracture in Femoroacetabular Impingement
title_full_unstemmed Unusual Bilateral Rim Fracture in Femoroacetabular Impingement
title_short Unusual Bilateral Rim Fracture in Femoroacetabular Impingement
title_sort unusual bilateral rim fracture in femoroacetabular impingement
url http://dx.doi.org/10.1155/2015/210827
work_keys_str_mv AT claudiorafols unusualbilateralrimfractureinfemoroacetabularimpingement
AT juanedomonckeberg unusualbilateralrimfractureinfemoroacetabularimpingement
AT jorgenumair unusualbilateralrimfractureinfemoroacetabularimpingement