Abstract

Acetabular osteoid osteoma is very rare entity. The author reports on a lesion in a 33-years-old lactating female after 12 months of delay in diagnosis. Its periarticular location on the quadrilateral surface of the medial wall and its proximity to the obturator neurovascular bundle made its accessibility by the available minimally invasive treatment options difficult and dangerous. Surgical access through the traditional hip approaches is infeasible. Stoppa intrapelvic approach allowed direct visualization and en bloc resection of the lesion. Pain disappeared immediately after surgery with rapid improvement of her function. Temporary traction obturator neuropraxia was the only complication encountered. Full functional recovery was detected after three months and continued till the latest one-year follow-up with no recurrence manifestations.

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