[Hip subluxation and coxa valga secondary to an osteoïd osteoma].

Abstract

SUMMARY:

We report on the case of a 2-year-old child with extra-articular osteoïd osteoma of the proximal femur leading to subluxation and coxa valga deformity of the hip joint at 10 year follow-up. The osteoïd osteoma reccured twice after surgical excision and percutaneous drilling. Patient's clinical history also reported a prolonged use of medications as treatment for these two recurrences. Second recurrence was combined with migration of the femoral head and retraction of the adductors: surgical treatment consisted in varus osteotomy to facilitate excision of the lesion, combined with a tenotomy of the hip adductors. Functional outcomes were satisfactory after 4-year follow-up. Reviews of the literature report two cases of hip subluxation secondary to intra-articular osteoïd osteoma. From our experience, it seems that hip subluxation in the present case could have been avoided with early surgical management.

• Authors: S Jacopin, F Launay, E Viehweger, Y Glard, J-L Jouve, J Bérard, G Bollini
• Journal: Revue de chirurgie orthopedique et reparatrice de l'appareil moteur (Rev Chir Orthop Reparatrice Appar Mot) Vol. 94 Issue 8 Pg. 758-62 (Dec 2008) ISSN: 1776-2553 [Electronic] France
• Vernacular Title: Subluxation de la hanche et coxa valga secondaires à un ostéome ostéoïde.
• PMID: 19070719 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Child, Preschool
• Femoral Neoplasms (complications)
• Femur Head (abnormalities)
• Hip Dislocation (etiology)
• Humans
• Male
• Osteoma, Osteoid (complications)