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Paralabral Cyst of the Hip Causing Deep Vein Thrombosis Treated with Arthroscopic Decompression and Labral Repair

Goodwin, Tyler M.
; 
White, Charles Cody
; 
Wetzler, Austin
; 
Cincere, Brandon A.
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Journal article
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2024-01-01
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https://scholarshare.temple.edu/handle/20.500.12613/11754
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https://doi.org/10.5435/jaaosglobal-d-23-00178
Abstract
In the setting of femoroacetabular impingement of the hip joint, paralabral cysts are well-documented sequelae. These cysts are typically associated with labral tears caused by CAM and/or pincertype bony lesions. Synovial fluid extravasation through a tear in the labrum, similar to a popliteus cyst, leads to formation of a capsularbased cyst that is usually self-limiting. Few documented cases of these cysts causing compression of nearby neurovascular structures exist. There are several studies documenting arthroscopic decompression of these cysts, but none reporting compression of the femoral vein by a paralabral cyst resulting in deep vein thrombosis. We present the case of a large anterior paralabral cyst causing compression of the right femoral vein in a patient presenting with deep vein thrombosis and hip pain. Treatment consisted of arthroscopic decompression, followed by definitive aspiration by interventional radiology after labral repair and bipolar hip osteoplasty. The purpose of this case report was to document this rare presentation and offer learning points from our experience.
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Goodwin, Tyler M. MD; White, Charles Cody MD; Wetzler, Austin MPH; Cincere, Brandon A. MD. Paralabral Cyst of the Hip Causing Deep Vein Thrombosis Treated with Arthroscopic Decompression and Labral Repair. JAAOS: Global Research and Reviews 8(1):e23.00178, January 2024. | DOI: 10.5435/JAAOSGlobal-D-23-00178
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Journal of the American Academy of Orthopaedic Surgeons, Vol. 8, Iss. 1
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