SAGE Open Medical Case Reports (Dec 2020)

A rare case of osteoblastoma in the femoral head combined with cam-type femoroacetabular impingement: A case report

  • Akira Morita,
  • Naomi Kobayashi,
  • Hyonmin Choe,
  • Taro Tezuka,
  • Yusuke Kawabata,
  • Kenta Hayashida,
  • Shota Higashihira,
  • Ikuma Kato,
  • Yutaka Inaba

DOI
https://doi.org/10.1177/2050313X20978022
Journal volume & issue
Vol. 8

Abstract

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Osteoblastoma is a relatively rare benign bone-forming tumor accounting for less than 1% of all bone tumors. This report describes a patient with an osteoblastoma in the femoral head complicated by coexistence of femoroacetabular impingement. A 25-year-old male rugby football player complained of severe right hip pain after an injury during rugby practice. The pain became progressively worse despite resting from sports activity and rehabilitation for 4 months. The image inspection revealed bone tumor complicated by cam-type femoroacetabular impingement and a labral injury. Hip arthroscopic surgery was planned using a navigation system and a three-dimensional model for both complete debridement and cam resection. The tumor was resected by open surgery using a posterior approach. The bone tumor was diagnosed histopathologically as an osteoblastoma. The patient’s symptoms improved markedly after surgery, with no evidence of local tumor recurrence or hip arthritis 1 year later.