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Advances in Orthopedics
Volume 2014, Article ID 180254, 10 pages
http://dx.doi.org/10.1155/2014/180254
Review Article

Hip Joint Osteochondroma: Systematic Review of the Literature and Report of Three Further Cases

1Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, 1529 Cedar Avenue, Montreal, QC, Canada H3G 1A6
2Department of Orthopaedic Surgery, King Abdulaziz University, Jeddah 21589, Saudi Arabia
3Division of Orthopaedic Surgery, Maisonneuve-Rosemont Hospital, University of Montreal, 5415 Assomption Boulevard, Montreal, QC, Canada H1T 2M4

Received 17 January 2014; Accepted 23 March 2014; Published 20 May 2014

Academic Editor: Christian Bach

Copyright © 2014 Asim M. Makhdom et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim of this study is to systematically review the literature with regards to surgical treatment of patients with hip joint osteochondromas, and to report our surgical management of three paediatric patients who had femoral neck or acetabular osteochondromas in association with acetabular dysplasia. We performed a systematic review using PubMed and Embase databases for all studies that reported surgical treatments for patients with peritrochanteric or acetabular osteochondroma with or without acetabular dysplasia. We also retrospectively reviewed three patients who were diagnosed with a hip osteochondroma in association with actetabular dysplasia. These patients were known to have hereditary multiple exostoses (HME). The systematic review revealed 21 studies that met our inclusion criteria. All studies were case reports and retrospective in nature and failed to conclude a uniform treatment plan. The three reported cases illustrate successful excision of hip osteochondromas and treatment of acetabular dysplasia. Early excision of hip osteochondromas might prevent acetabular dysplasia in HME patients. Routine radiographic pelvic survey at the time of diagnosis of HME is recommended for early detection of hip osteochondromas and acetabular dysplasia in these children.