Arthroscopic bullet removal from the hip joint and concurrent treatment of associated full-thickness chondral defects: A case report

SAGE Open Medical Case Reports
Fernando P FerroJosé Rn Vicente

Abstract

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 allog...Continue Reading

References

Oct 1, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J W Cory, D S Ruch
Mar 10, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Steven B SingletonCory A Collinge
Jan 27, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Itamar B BotserBenjamin G Domb
Jun 7, 2013·Journal of Surgical Technique and Case Report·Jamal Al-Asiri, Ivan Wong
Jan 3, 2014·The Journal of the American Academy of Orthopaedic Surgeons·Youssef F El BitarBenjamin G Domb
Jul 1, 2016·Orthopedics·Jorge ChahlaCecilia Pascual-Garrido
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BETA
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