XXXX and its implications on range of motion: a case report.

@entity1 @entity1743 @entity158
INTRODUCTION: @entity1743 leads to limited hip motion, @entity158 and progressive damage to the labrum. Assessment of the amount and location of excessive ossification can be difficult, and removal does not always lead to @entity158 relief and an increase of function. One of the challenges ahead is to discover why certain cases have poor outcomes. CASE PRESENTATION: The technical and clinical results of two consecutive arthroscopic shavings of an osseous cam protrusion are described in our @entity1 , a 50-year-old Caucasian @entity1 with complaints of @entity1743 . At 12 weeks after the first arthroscopic shaving, our @entity1 still experienced @entity158 . Using a range of motion simulation system based on computed tomography images the kinematics of his hip joint were analyzed. Bone that limited range of motion was removed in a second arthroscopic procedure. At six months post-operatively our @entity1 is almost @entity158 free and has regained a range of motion to a functional level. CONCLUSION: This case demonstrates the relevance of range of motion simulation when the outcome of primary arthroscopic management is unsatisfactory. Such simulations may aid clinicians in determining the gain of a second operation. This claim is supported by the correlation of the simulations with clinical outcome, as shown in this case report.
