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Delayed Diagnosis of Heterotopic Ossification Following Arthroscopic Cam-Pincer Resection: Rare Cause of Persistent Hip Pain

Year: 2026
Type: article
Study design: Case Report
Abstract: ABS TRACT Hip arthroscopy is an effective treatment for femoroacetabular impingement; however, heterotopic ossification (HO) remains a potential postoperative complication.Although HO typically develops in the early postoperative period, delayed diagnosis may occur when symptoms persist and early imaging is not performed.We report the case of a 62-year-old male patient with progressive right hip pain and functional limitation 9 months after arthroscopic cam-pincer resection.Preoperative imaging showed no evidence of HO.Follow-up radiographs demonstrated newly developed HO around the right hip joint, without ankylosis or neurovascular compromise.The findings were suggestive of low-grade HO.The patient was managed conservatively with oral alendronate therapy, periarticular hip muscle strengthening, gait training, and balance exercises.Surgical excision was not planned because there was no severe mechanical restriction.This case highlights delayed diagnosis of HO as a rare but important cause of persistent hip pain after hip arthroscopy and underscores the importance of long-term follow-up and individualized management.
Language: English
Subfield: Rheumatology
Field: Medicine
Open Access status: diamond
OpenAlex ID: W7220409646
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Related to: 10