[Hip pain in young adults - a case report and review of the literature].
A painful hip in a young adult may have its origin in different aetiologies, and both clinical history and physical examination are crucial for diagnostic guidance. The authors describe the case of a 28 year-old male, amateur football player, suffering from insidious progressive left cruralgia, with nocturnal and prolonged high-impact loading activities exacerbation, resulting in significant impairment of exercise tolerance, gait and other daily activities. He had a transitory response to non-steroid anti-inflammatory drugs. Besides slight limitation of hip internal rotation and an antalgic gait pattern, physical examination was normal. Laboratory tests and conventional X-ray of the left hip were normal. CT and MRI depicted findings compatible with an osteoid osteoma in the femoral cervico-cephalic transition and signs of a potential «cam» type femoro-acetabular impingement. The adopted therapeutic strategy consisted on radiofrequency excision of the nidus of osteoid, with complete clinical recovery after 6 months.
Vaz
Inês Machado
IM
Interno Formação Específica de Medicina Física e de Reabilitação, Hospital S. João, E.P.E. inessgmv@gmail.com
Castro
M
M
Cabete
S
S
Rocha
J A
JA
Brito
I
I
D000328:Adult; D001859:Bone Neoplasms / Q000150:complications / Q000175:diagnosis*; D006621:Hip Joint; D006801:Humans; D008297:Male; D010017:Osteoma, Osteoid / Q000150:complications / Q000175:diagnosis*; D010146:Pain / Q000209:etiology