JBJS | Article

The Journal of Bone & Joint Surgery, Volume 87, Issue 1

Case Reports | January 01, 2005

Fixed Hip Contracture and Cyclic Hip Pain Secondary to Endometriosis: A Case Report

Adrienne A. Spirt, MD¹; Bernard F. Morrey, MD¹; Douglas J. Pritchard, MD¹; C. Robert Stanhope, MD¹

¹ Departments of Orthopedic Surgery and Gynecologic Surgery, Mayo Clinic, 200 First Street S.W., Rochester MN 55905. E-mail address for B.F. Morrey: morrey.bernard@mayo.edu

The Journal of Bone & Joint Surgery. 2005; 87:177-180 doi:10.2106/JBJS.C.01529

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Extract

Cyclic pain in the hip region secondary to endometriosis is relatively rare. It is most commonly described as "cyclic sciatica" and presents with pain and often with sensory and motor neuropathies mimicking lumbar radiculopathies1-5. Joint contracture is not a typical finding. Usually, the symptoms are caused by endometriomas adjacent to and/or infiltrating the sciatic nerve2-5, and in a few instances endometriomas have been reported to involve other nearby structures. We report the case of a patient with a fixed external rotation contracture of the hip and cyclic groin pain secondary to endometriosis involving the obturator nerve and the obturator internus and externus muscles.

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Topics

endometriosis ; hip contracture ; hip joint ; pain ; hip pain

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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