[Controlled hip dislocation in synovial chondromatosis. Case report].

INTRODUCTION

hip pain is a common symptom linked to trauma, joint wear and tear or genetic predisposition. In the presence of progressive pain and functional disability without the above causes, it is necessary to explore and rule out other less frequent causes of joint damage, such as synovial chondromatosis. Currently, surgical dislocation of the hip represents an effective and safe alternative to treat this condition.

CASE REPORT: male patient with synovial chondromatosis of the hip, characterized by progressive functional limitation, without relevant history, and with evolution of chronic pain that limits basic life activities. Being a rare disease of unknown etiology, a bibliographic review was made to look for functional results and improvement of pain after surgical treatment.

RESULTS

gradual progression of the disease was observed, with no significant traumatic history. Complementary imaging studies were used and, after diagnosis, it was decided to adopt a conservative surgical approach with surgical hip dislocation, preserving the anatomy and avoiding the need for a prosthesis to extend the useful life of the joint before considering a joint replacement.

CONCLUSIONS

after the intervention with controlled surgical hip dislocation, the patient had no recurrence of synovial chondromatosis, and presented pain reduction and an improvement in hip functional capacity and quality of life.