title: Hip joint osteochondroma: systematic review of the literature and report of three further cases.
abstract: The aim of this study is to systematically review the literature with regards to surgical treatment of patients with hip joint osteochondromas, and to report our surgical management of three paediatric patients who had femoral neck or acetabular osteochondromas in association with acetabular dysplasia. We performed a systematic review using PubMed and Embase databases for all studies that reported surgical treatments for patients with peritrochanteric or acetabular osteochondroma with or without acetabular dysplasia. We also retrospectively reviewed three patients who were diagnosed with a hip osteochondroma in association with actetabular dysplasia. These patients were known to have hereditary multiple exostoses (HME). The systematic review revealed 21 studies that met our inclusion criteria. All studies were case reports and retrospective in nature and failed to conclude a uniform treatment plan. The three reported cases illustrate successful excision of hip osteochondromas and treatment of acetabular dysplasia. Early excision of hip osteochondromas might prevent acetabular dysplasia in HME patients. Routine radiographic pelvic survey at the time of diagnosis of HME is recommended for early detection of hip osteochondromas and acetabular dysplasia in these children.
authors: Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 1529 Cedar Avenue, Montreal, QC, Canada H3G 1A6 ; Department of Orthopaedic Surgery, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
authors: Asim M
authors: AM
authors: Makhdom
authors: Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 1529 Cedar Avenue, Montreal, QC, Canada H3G 1A6.
authors: Fan
authors: 0000-0002-7673-0267
authors: F
authors: Jiang
authors: Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 1529 Cedar Avenue, Montreal, QC, Canada H3G 1A6.
authors: Reggie C
authors: RC
authors: Hamdy
authors: Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 1529 Cedar Avenue, Montreal, QC, Canada H3G 1A6.
authors: Thierry E
authors: TE
authors: Benaroch
authors: Division of Orthopaedic Surgery, Maisonneuve-Rosemont Hospital, University of Montreal, 5415 Assomption Boulevard, Montreal, QC, Canada H1T 2M4.
authors: Martin
authors: M
authors: Lavigne
authors: Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 1529 Cedar Avenue, Montreal, QC, Canada H3G 1A6.
authors: Neil
authors: 0000-0002-7491-9234
authors: N
authors: Saran