Abstract
BackgroundOsteoarthritis (OA) is the most frequent joint disease, affecting 10% of men and 18% of women older than 60 years worldwide. Traditionally, treatment is based in pain management with joint replacement of end-stage disease. In this setting, transcatheter embolization has emerged as an alternative in reduction of pain in patients with OA.Case presentationA 77 years-old female presenting with two previous deep vein thrombosis and 10 years of hip pain. Magnetic resonance demonstrated a focal area of enhanced pericapsular signal near the superolateral margin of the acetabulum. Embolization of branches of the ascending branch of the lateral femoral circumflex artery was performed, with decrease of the pain and improvement in the image and her walking ability in a four-month follow-up.ConclusionThis case report have shown that embolization of hip synovitis is feasible with early clinical success, in tune with the findings of genicular and shoulder embolization. Studies with more patients and long-term results are necessary to corroborate this finding.Level of evidence4
Highlights
This case report have shown that embolization of hip synovitis is feasible with early clinical success, in tune with the findings of genicular and shoulder embolization
This paper presents the first report of a successful hip synovitis embolization
This is the first publication of hip inflammatory embolization
Summary
This case report have shown that embolization of hip synovitis is feasible with early clinical success. The four months follow-up was reported since Okuno et al in their first reports have published data in this time frame (Hwang et al 2018). Studies with more patients and long-term results are necessary to corroborate these findings
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