Arthroscopic bullet removal from the hip joint and concurrent treatment of associated full-thickness chondral defects: A case report
The diagnosis of a bullet inside the hip joint is a rare finding. The usual method to treat this condition has been open surgery, with its associated complications and morbidity. The arthroscopic approach has been increasingly utilized for the diagnosis and treatment of several hip conditions, and t...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2019-02-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X19829670 |
| _version_ | 1818303355858976768 |
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| author | Fernando P Ferro Felipe S Bessa Leandro Ejnisman Henrique MC Gurgel Alberto T Croci José RN Vicente |
| author_facet | Fernando P Ferro Felipe S Bessa Leandro Ejnisman Henrique MC Gurgel Alberto T Croci José RN Vicente |
| author_sort | Fernando P Ferro |
| collection | DOAJ |
| description | The diagnosis of a bullet inside the hip joint is a rare finding. The usual method to treat this condition has been open surgery, with its associated complications and morbidity. The arthroscopic approach has been increasingly utilized for the diagnosis and treatment of several hip conditions, and the number of indications for this technique has been steadily rising. We report the case of a 35-year-old man who suffered a gunshot wound and was operated on for abdominal perforation. He later presented with groin pain that worsened with weight-bearing on his right leg and then underwent arthroscopic removal of a bullet located inside his right hip joint. After a 2-year follow-up, the patient had an excellent clinical outcome, with no radiologic signs of arthritis. The removal of an intra-articular projectile is necessary to avoid complications such as synovitis, osteoarthritis, septic arthritis, and saturnism. The best access to the hip joint remains a topic of debate. Arthroscopy has the advantage of less soft-tissue damage and quicker recovery. The treatment of associated chondral lesions can be done with several techniques, including microfracture, autologous chondrocyte implantation, mosaicplasty, and fresh osteochondral allograft transplantation. There is no consensus as to the best course of treatment for associated chondral lesions in such cases. Hip arthroscopy can be a safe and effective technique for the removal of intra-articular bullets in the hip. |
| first_indexed | 2024-12-13T05:53:29Z |
| format | Article |
| id | doaj.art-e999d39193b5454cab725dc98e2f5495 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-13T05:53:29Z |
| publishDate | 2019-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-e999d39193b5454cab725dc98e2f54952022-12-21T23:57:29ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2019-02-01710.1177/2050313X19829670Arthroscopic bullet removal from the hip joint and concurrent treatment of associated full-thickness chondral defects: A case reportFernando P Ferro0Felipe S Bessa1Leandro Ejnisman2Henrique MC Gurgel3Alberto T Croci4José RN Vicente5Instituto de Ortopedia e Traumatologia, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, BrazilInstituto de Ortopedia e Traumatologia, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, BrazilInstituto de Ortopedia e Traumatologia, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, BrazilInstituto de Ortopedia e Traumatologia, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, BrazilInstituto de Ortopedia e Traumatologia, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, BrazilInstituto de Ortopedia e Traumatologia, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, BrazilThe diagnosis of a bullet inside the hip joint is a rare finding. The usual method to treat this condition has been open surgery, with its associated complications and morbidity. The arthroscopic approach has been increasingly utilized for the diagnosis and treatment of several hip conditions, and the number of indications for this technique has been steadily rising. We report the case of a 35-year-old man who suffered a gunshot wound and was operated on for abdominal perforation. He later presented with groin pain that worsened with weight-bearing on his right leg and then underwent arthroscopic removal of a bullet located inside his right hip joint. After a 2-year follow-up, the patient had an excellent clinical outcome, with no radiologic signs of arthritis. The removal of an intra-articular projectile is necessary to avoid complications such as synovitis, osteoarthritis, septic arthritis, and saturnism. The best access to the hip joint remains a topic of debate. Arthroscopy has the advantage of less soft-tissue damage and quicker recovery. The treatment of associated chondral lesions can be done with several techniques, including microfracture, autologous chondrocyte implantation, mosaicplasty, and fresh osteochondral allograft transplantation. There is no consensus as to the best course of treatment for associated chondral lesions in such cases. Hip arthroscopy can be a safe and effective technique for the removal of intra-articular bullets in the hip.https://doi.org/10.1177/2050313X19829670 |
| spellingShingle | Fernando P Ferro Felipe S Bessa Leandro Ejnisman Henrique MC Gurgel Alberto T Croci José RN Vicente Arthroscopic bullet removal from the hip joint and concurrent treatment of associated full-thickness chondral defects: A case report SAGE Open Medical Case Reports |
| title | Arthroscopic bullet removal from the hip joint and concurrent treatment of associated full-thickness chondral defects: A case report |
| title_full | Arthroscopic bullet removal from the hip joint and concurrent treatment of associated full-thickness chondral defects: A case report |
| title_fullStr | Arthroscopic bullet removal from the hip joint and concurrent treatment of associated full-thickness chondral defects: A case report |
| title_full_unstemmed | Arthroscopic bullet removal from the hip joint and concurrent treatment of associated full-thickness chondral defects: A case report |
| title_short | Arthroscopic bullet removal from the hip joint and concurrent treatment of associated full-thickness chondral defects: A case report |
| title_sort | arthroscopic bullet removal from the hip joint and concurrent treatment of associated full thickness chondral defects a case report |
| url | https://doi.org/10.1177/2050313X19829670 |
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