Medial synovial fold cyst in the hip leading to pectineofoveal impingement.

Naoki Nakano,Vikas Khanduja

doi:10.1093/jhps/hnw043

Naoki Nakano, Vikas Khanduja

Open Access

https://doi.org/10.1093/jhps/hnw043

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Abstract

Pectineofoveal impingement is a relatively rare condition, which can cause hip or groin pain along with mechanical symptoms of clicking in the young adult. We present the case of a 13-year-old girl who was referred to us with left hip pain, which had been affecting her for over six months along with mechanical symptoms of clicking. Following appropriate clinical examination and investigations the patient underwent arthroscopic surgery of her hip. At arthroscopy, a cyst was identified on the medial synovial fold, which was abutting against the zona orbicularis leading to pectineofoveal impingement. The cyst was decompressed and the synovial fold excised arthroscopically. Following arthroscopic intervention, the patient did extremely well and remains asymptomatic at the last follow-up (7 months following the procedure). The case highlights the importance of the medial synovial fold pathology as an important cause for pain and mechanical symptoms in the young adult hip.

Highlights

Hip impingement commonly refers to femoroacetabular impingement (FAI), which is a well-described cause of hip pain and loss of function in the young, non-arthritic patient.[1,2,3] as the understanding of pathology in and around the hip has increased, other hip impingement syndromes have been described and these constitute to important causes of pain and mechanical symptoms in and around the hip in the young adult
A cyst was identified on the medial synovial fold, which was abutting against the zona orbicularis leading to pectineofoveal impingement
We describe the arthroscopic appearance of a medial synovial fold cyst which led to pectineofoveal impingement

Summary

Introduction

Hip impingement commonly refers to femoroacetabular impingement (FAI), which is a well-described cause of hip pain and loss of function in the young, non-arthritic patient.[1,2,3] as the understanding of pathology in and around the hip has increased, other hip impingement syndromes have been described and these constitute to important causes of pain and mechanical symptoms in and around the hip in the young adult. ABSTRACT Pectineofoveal impingement is a relatively rare condition, which can cause hip or groin pain along with mechanical symptoms of clicking in the young adult. We present the case of a 13-year-old girl who was referred to us with left hip pain, which had been affecting her for over six months along with mechanical symptoms of clicking.

Results

Conclusion