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Ganglion Cyst as a Rare Complication of Hip Arthroscopy Resolved With THA: A Case Report

Robert A Burnett1, Robert Westermann1, Nicholas Bedard1

  • 1University Iowa, 200 Hawkins Dr, Iowa City, IA 52246, United States.

The Iowa Orthopaedic Journal
|August 15, 2018
PubMed

Insights

A rare ganglion cyst complication after hip arthroscopy was successfully treated with total hip arthroplasty and cyst decompression. This case highlights potential prevention strategies for hip impingement surgery.

Area of Science:

  • Orthopedic Surgery
  • Medical Case Reports

Background:

  • Ganglion cysts are a rare complication of hip arthroscopy, potentially impacting surrounding hip structures.
  • Involvement of the femoral artery by these cysts can lead to symptoms mimicking an aneurysm.

Observation:

  • A 62-year-old male presented with right hip pain, diagnosed with a degenerative labrum and cam impingement.
  • The patient underwent hip arthroscopy with cam decompression, subsequently developing a recurring ganglion cyst.

Findings:

  • Recurrent ganglion cyst post-arthroscopy was refractory to aspiration.
  • Total hip arthroplasty combined with ganglion cyst decompression effectively resolved symptoms and the cyst.

Implications:

  • This is the first reported case of a ganglion cyst developing after hip arthroscopy.
  • Interportal capsulotomy closure may be a preventative measure for ganglion cyst formation during hip arthroscopy.
  • Arthroplasty with cyst decompression offers a viable treatment for persistent cysts in degenerative hip disease.
Abstract

Keywords:
Ganglion cystarthroplastyarthroscopyhip

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