A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis
A capital drop is a type of osteophyte at the inferomedial portion of the femoral head commonly observed in hip osteoarthritis (OA), secondary to developmental dysplasia. Capital drop itself is typically asymptomatic; however, symptoms can appear secondary to impinge against the acetabulum or to irr...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/709608 |
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| author | Tomoya Takasago Tomohiro Goto Takahiko Tsutsui Kenji Kondo Daisuke Hamada Ichiro Tonogai Keizo Wada Koichi Sairyo |
| author_facet | Tomoya Takasago Tomohiro Goto Takahiko Tsutsui Kenji Kondo Daisuke Hamada Ichiro Tonogai Keizo Wada Koichi Sairyo |
| author_sort | Tomoya Takasago |
| collection | DOAJ |
| description | A capital drop is a type of osteophyte at the inferomedial portion of the femoral head commonly observed in hip osteoarthritis (OA), secondary to developmental dysplasia. Capital drop itself is typically asymptomatic; however, symptoms can appear secondary to impinge against the acetabulum or to irritation of the surrounding tissues, such as nerves, vessels, and tendons. We present here a case of unilateral leg edema in a patient with hip OA, caused by a huge bone mass occurring at the inferomedial portion of the femoral head that compressed the femoral vessels. We diagnosed this bone mass as a capital drop secondary to hip OA after confirming that the mass occurred at least after the age of 63 years based on a previous X-ray. We performed early resection and total hip arthroplasty since the patient’s hip pain was due to both advanced hip OA and compression of the femoral vessels; moreover, we aimed to prevent venous thrombosis secondary to vascular compression considering the advanced age and the potent risk of thrombosis in the patient. A large capital drop should be considered as a cause of vascular compression in cases of unilateral leg edema in OA patients. |
| format | Article |
| id | doaj-art-26ce2e9f8cd84a0d99f30835854b8823 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-26ce2e9f8cd84a0d99f30835854b88232025-02-03T05:45:25ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/709608709608A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip OsteoarthritisTomoya Takasago0Tomohiro Goto1Takahiko Tsutsui2Kenji Kondo3Daisuke Hamada4Ichiro Tonogai5Keizo Wada6Koichi Sairyo7Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduated School, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduated School, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduated School, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduated School, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduated School, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduated School, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduated School, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduated School, Tokushima 770-8503, JapanA capital drop is a type of osteophyte at the inferomedial portion of the femoral head commonly observed in hip osteoarthritis (OA), secondary to developmental dysplasia. Capital drop itself is typically asymptomatic; however, symptoms can appear secondary to impinge against the acetabulum or to irritation of the surrounding tissues, such as nerves, vessels, and tendons. We present here a case of unilateral leg edema in a patient with hip OA, caused by a huge bone mass occurring at the inferomedial portion of the femoral head that compressed the femoral vessels. We diagnosed this bone mass as a capital drop secondary to hip OA after confirming that the mass occurred at least after the age of 63 years based on a previous X-ray. We performed early resection and total hip arthroplasty since the patient’s hip pain was due to both advanced hip OA and compression of the femoral vessels; moreover, we aimed to prevent venous thrombosis secondary to vascular compression considering the advanced age and the potent risk of thrombosis in the patient. A large capital drop should be considered as a cause of vascular compression in cases of unilateral leg edema in OA patients.http://dx.doi.org/10.1155/2015/709608 |
| spellingShingle | Tomoya Takasago Tomohiro Goto Takahiko Tsutsui Kenji Kondo Daisuke Hamada Ichiro Tonogai Keizo Wada Koichi Sairyo A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis Case Reports in Orthopedics |
| title | A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis |
| title_full | A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis |
| title_fullStr | A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis |
| title_full_unstemmed | A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis |
| title_short | A Huge Capital Drop with Compression of Femoral Vessels Associated with Hip Osteoarthritis |
| title_sort | huge capital drop with compression of femoral vessels associated with hip osteoarthritis |
| url | http://dx.doi.org/10.1155/2015/709608 |
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