Ligamentum Teres Impingement in Valgus Impacted Femoral Neck Fracture: A Case for Hip Arthroscopy.

CASE: Seven years after hip arthroscopy for cam impingement, a 47-year-old female patient suffered a valgus impacted femoral neck fracture of her left hip that was stabilized with cannulated screws. After fracture healing, she experienced persisting sharp groin pain that could be elicited in flexion/internal rotation and extension/adduction. We suspected a ligamentum teres impingement at the border of the acetabular fossa due to a post-traumatic fovea alta and performed an arthroscopic ligament resection. Symptoms completely resolved thereafter.

CONCLUSION: Valgus impacted femoral neck fractures with post-traumatic fovea alta may cause painful ligamentum teres impingement that can be treated with arthroscopic resection.