Chondroblastoma of the femoral head disrupting the articular cartilage. Description of a novel surgical technique

Acta Orthop Belg. 2012 Jun;78(3):414-7.

Abstract

Chondroblastoma is a rare benign tumour. Involvement of the femoral head may often lead to a delayed diagnosis. We present the case of a 15-year-old patient with right hip pain which was first attributed to adductor tendinitis. Following aggravation of the symptoms, thorough investigation including a CT-guided biopsy, revealed the diagnosis of chondroblastoma of the femoral head. Removal of the lesion based on the techniques described in literature was not possible, mainly because the articular cartilage was breached. A novel surgical technique was used in order to address the rare location and behaviour of the tumour. This technique offered the patient pain relief and return to his previous every day and sports activities. No recurrence was seen at two years follow-up.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Cartilage, Articular / diagnostic imaging
  • Cartilage, Articular / pathology
  • Chondroblastoma / diagnostic imaging
  • Chondroblastoma / pathology
  • Chondroblastoma / surgery*
  • Femoral Neoplasms / diagnostic imaging
  • Femoral Neoplasms / pathology
  • Femoral Neoplasms / surgery*
  • Femur Head / diagnostic imaging
  • Humans
  • Male
  • Orthopedic Procedures / methods*
  • Radiography