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Femoral nerve compression secondary to a ganglion cyst arising from a hip joint: a case report and review of the literature.

Kalacı A, Dogramaci Y, Sevinç TT, Yanat AN - J Med Case Rep (2009)

Bottom Line: Femoral nerve compression due to a cystic lesion around the hip joint is rare and only a few cases have been described in the literature.We report the case of a 57-year-old woman with femoral nerve compression caused by a true ganglion cyst of the hip joint.A high index of suspicion is required to predict a non-palpable cystic lesion around the hip joint as it may mimic different disorders and should be kept in mind in the differential diagnosis of unusual groin pain, radicular pain and peripheral vascular disorders.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedics and Traumatology, Mustafa Kemal University Faculty of Medicine, 31100 Antakya, Hatay, Turkey. orthopedi@gmail.com.

ABSTRACT

Introduction: Femoral nerve compression due to a cystic lesion around the hip joint is rare and only a few cases have been described in the literature. Among these, true ganglion cysts are even more rare.

Case presentation: We report the case of a 57-year-old woman with femoral nerve compression caused by a true ganglion cyst of the hip joint.

Conclusion: A high index of suspicion is required to predict a non-palpable cystic lesion around the hip joint as it may mimic different disorders and should be kept in mind in the differential diagnosis of unusual groin pain, radicular pain and peripheral vascular disorders.

No MeSH data available.


Related in: MedlinePlus

Computer tomography scan and magnetic resonance imaging of the right hip region revealed a cystic lesion of 2.6 × 1.4 cm in diameter, displacing the femoral nerve as well as the femoral vein and artery.
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Figure 1: Computer tomography scan and magnetic resonance imaging of the right hip region revealed a cystic lesion of 2.6 × 1.4 cm in diameter, displacing the femoral nerve as well as the femoral vein and artery.

Mentions: Laboratory investigation included blood sugar, serum electrolytes, erythrocyte sedimentation rate, C-reactive protein, corpuscular blood count with differential count, rheumatoid factor and antinuclear antibodies. The results were all normal. Radiographs of the hip and lumbar spine were also normal. Computer tomography (CT) scan and magnetic resonance imaging (MRI) of the right hip region revealed a cystic lesion of 2.6 × 1.4 cm in diameter, both in high-T2- and low-T1-weighted signal intensity, arising from the antero-medial aspect of the acetabulum, displacing the femoral nerve as well as the femoral vein and the artery (Figure 1). A colour duplex Doppler ultrasonography excluded the possibility of aneurismal lesion. Electromyography (EMG) revealed evidence of muscle denervation.


Femoral nerve compression secondary to a ganglion cyst arising from a hip joint: a case report and review of the literature.

Kalacı A, Dogramaci Y, Sevinç TT, Yanat AN - J Med Case Rep (2009)

Computer tomography scan and magnetic resonance imaging of the right hip region revealed a cystic lesion of 2.6 × 1.4 cm in diameter, displacing the femoral nerve as well as the femoral vein and artery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2651898&req=5

Figure 1: Computer tomography scan and magnetic resonance imaging of the right hip region revealed a cystic lesion of 2.6 × 1.4 cm in diameter, displacing the femoral nerve as well as the femoral vein and artery.
Mentions: Laboratory investigation included blood sugar, serum electrolytes, erythrocyte sedimentation rate, C-reactive protein, corpuscular blood count with differential count, rheumatoid factor and antinuclear antibodies. The results were all normal. Radiographs of the hip and lumbar spine were also normal. Computer tomography (CT) scan and magnetic resonance imaging (MRI) of the right hip region revealed a cystic lesion of 2.6 × 1.4 cm in diameter, both in high-T2- and low-T1-weighted signal intensity, arising from the antero-medial aspect of the acetabulum, displacing the femoral nerve as well as the femoral vein and the artery (Figure 1). A colour duplex Doppler ultrasonography excluded the possibility of aneurismal lesion. Electromyography (EMG) revealed evidence of muscle denervation.

Bottom Line: Femoral nerve compression due to a cystic lesion around the hip joint is rare and only a few cases have been described in the literature.We report the case of a 57-year-old woman with femoral nerve compression caused by a true ganglion cyst of the hip joint.A high index of suspicion is required to predict a non-palpable cystic lesion around the hip joint as it may mimic different disorders and should be kept in mind in the differential diagnosis of unusual groin pain, radicular pain and peripheral vascular disorders.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedics and Traumatology, Mustafa Kemal University Faculty of Medicine, 31100 Antakya, Hatay, Turkey. orthopedi@gmail.com.

ABSTRACT

Introduction: Femoral nerve compression due to a cystic lesion around the hip joint is rare and only a few cases have been described in the literature. Among these, true ganglion cysts are even more rare.

Case presentation: We report the case of a 57-year-old woman with femoral nerve compression caused by a true ganglion cyst of the hip joint.

Conclusion: A high index of suspicion is required to predict a non-palpable cystic lesion around the hip joint as it may mimic different disorders and should be kept in mind in the differential diagnosis of unusual groin pain, radicular pain and peripheral vascular disorders.

No MeSH data available.


Related in: MedlinePlus