PMC4446677_01
X-rays and CT films of right hip at initial presentation.
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New pelvic X-rays were done which revealed an abnormal hypertrophic malunion of the anterior inferior iliac spine fracture causing an extra-articular femoroacetabular impingement (Fig. 1). CT scan revealed an inferiorly displaced bony fragment from the right anterior inferior iliac spine (Fig. 1). Conservative treatment in the form of nonsteroidal anti-inflammatory drugs and physiotherapy was started and continued for 12 weeks but without any response (Fig. 2), then surgical excision of the hypertrophic malunited fragment was done through the anterior hip approach.
X-rays and CT films of right hip at initial presentation.
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PMC4446677_01_gr2.jpg
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CT scan revealed an inferiorly displaced bony fragment from the right anterior inferior iliac spine (Fig. 1). Conservative treatment in the form of nonsteroidal anti-inflammatory drugs and physiotherapy was started and continued for 12 weeks but without any response (Fig. 2), then surgical excision of the hypertrophic malunited fragment was done through the anterior hip approach.
X-rays and CT films of right hip after surgery.
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The patient was followed up as an outpatient for two years postoperatively and the patient was asymptomatic with no sign of recurrence during the follow up period (Fig. 3).