title: [Arthroscopic correction of extra-articular subspinal impingement in the hip joint].
abstract: We report the case of symptomatic extra-articular subspinal impingement in the hip joint caused by a pathological contact between the anterior inferior iliac spine (AIIS) and the femoral neck. A 28-year-old patient presented with activity-related inguinal pain on the right side and a positive anterior impingement test in the clinical examination. Radiological examinations revealed a hypertrophic AIIS with caudal extension below the acetabulum. After a positive injection test confirmed the AIIS as the origin of the pain, arthroscopic correction with partial resection of the AIIS was performed resulting in significant pain relief and improved range of motion.
authors.affiliation: Centrum für Muskuloskeletale Chirurgie, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Hufeland
authors.forename: T
authors.initials: T
authors.lastname: Hartwig
authors.forename: D
authors.initials: D
authors.lastname: Krüger
authors.forename: C
authors.initials: C
authors.lastname: Perka
authors.forename: N P
authors.initials: NP
authors.lastname: Haas
authors.forename: J H
authors.initials: JH
authors.lastname: Schröder
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D057925:Femoracetabular Impingement / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome
references.citation: J Bone Joint Surg Br. 2002 May;84(4):556-60
references.pmid: 12043778
references.citation: Unfallchirurg. 2005 Jan;108(1):9-10, 12-7
references.pmid: 15619064
references.citation: Ann Surg. 1935 Jul;102(1):86-8
references.pmid: 17856607
references.citation: Clin Orthop Relat Res. 2003 Dec;(417):112-20
references.pmid: 14646708
references.citation: Sportverletz Sportschaden. 2007 Sep;21(3):152-6
references.pmid: 17896332
references.citation: J Bone Joint Surg Br. 2008 May;90(5):677-9
references.pmid: 18450640
references.citation: Orthopedics. 2012 Mar 07;35(3):e460-3
references.pmid: 22385466
references.citation: J Bone Joint Surg Am. 1999 Dec;81(12):1747-70
references.pmid: 10608388
references.citation: Skeletal Radiol. 2001 Mar;30(3):127-31
references.pmid: 11357449
references.citation: Skeletal Radiol. 2008 Oct;37(10):939-41
references.pmid: 18682931
references.citation: Arthroscopy. 2011 Dec;27(12):1732-7
references.pmid: 22137327