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Arthroscopic treatment of intraosseous ganglion-induced femoroacetabular impingement in the femoral neck: a case report
Arthrosc Orthop Sports Med 2017;4:81-84
Published online July 1, 2017;  https://doi.org/10.14517/aosm17006
© 2017 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Byung Hoon Lee1, Yong-Chan Ha2, Sae Hyun Kang1, Jin-Kyu Lim1

1Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University Medical Center, 2Department of Orthopedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea
Correspondence to: Byung Hoon Lee,
Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University Medical Center, 150 Seongan-ro, Gangdong-gu, Seoul 05355, Korea.
Tel: +82-2-2224-2230, Fax: +82-2-489-4391, E-mail: oselite@naver.com
Received April 26, 2017; Revised June 20, 2017; Accepted June 21, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Intraosseous ganglion is rarely associated with clinical symptoms because instances of extraosseous extensions are rare; the periosteum and the cortex of the bone represent a substantial physical barrier for intraosseous extensions of soft tissue lesions to intrude into bone. However, we observed a case of a symptomatic intraosseous ganglion located in the articular capsule of the hip in the inferomedial femoral neck. A 21-year-old woman complained of persistent mild pain and discomfort in the left groin for 18 months. Further, she complained about involuntary movements such as external rotation of the hip during full flexion and adduction and inability to kneel down, as well as discomfort during exercise such as yoga. Radiography and computed tomography implied the presence of an intraosseous ganglion in the inferomedial femoral neck. Using an image intensifier, we excised the lesion arthroscopically. The patient’s symptoms resolved immediately after surgery. This report describes a case of femoroacetabular impingement caused by an intraosseous ganglion in the femoral neck and evaluates the advantages of arthroscopic procedures for the surgical management of this lesion.
Keywords : Bone cysts; Femoroacetabular impingement; Femur neck; Yoga
References
  1. Feldman F, Johnston A. Intraosseous ganglion. Am J Roentgenol Radium Ther Nucl Med 1973;118:328-43.
    Pubmed CrossRef
  2. Sakamoto A, Oda Y, Iwamoto Y. Intraosseous Ganglia: a series of 17 treated cases. Biomed Res Int 2013;2013:462730.
    Pubmed KoreaMed CrossRef
  3. FISK GR. Bone concavity caused by a ganglion. J Bone Joint Surg Br 1949;31B:220.
    Pubmed
  4. Kim SJ, Choi NH, Ko SH, Linton JA, Park HW. Arthroscopic treatment of septic arthritis of the hip. Clin Orthop Relat Res 2003;(407):211-4.
    Pubmed CrossRef
  5. Stevens MS, Legay DA, Glazebrook MA, Amirault D. The evidence for hip arthroscopy: grading the current indications. Arthroscopy 2010;26:1370-83.
    Pubmed CrossRef
  6. Kambolis C, Bullough PG, Jaffe HI. Ganglionic cystic defects of bone. J Bone Joint Surg Am 1973;55:496-505.
    Pubmed CrossRef
  7. Yukata K, Nakai S, Goto T, et al. Cystic lesion around the hip joint. World J Orthop 2015;6:688-704.
    Pubmed KoreaMed CrossRef
  8. Schajowicz F, Clavel Sainz M, Slullitel JA. Juxta-articular bone cysts (intra-osseous ganglia): a clinicopathological study of eighty-eight cases. J Bone Joint Surg Br 1979;61:107-16.
    Pubmed
  9. Ziegler DN, Scheid DK. A method for location of an osteoid-osteoma of the femur at operation. A case report. J Bone Joint Surg Am 1992;74:1549-52.
    Pubmed CrossRef