Reactive Osteochondromatous Lesion of the Femoral Neck in a Highly Active Preadolescent Patient: Is This the Pathogenesis of a Cam Deformity?

Clin J Sport Med. 2018 Nov;28(6):e95-e97. doi: 10.1097/JSM.0000000000000479.

Abstract

Here, we present a rare case of a preadolescent boy with a prominent bony bump on the femoral neck. The main histological feature was concordant with a reactive osteochondromatous lesion possibly induced by repetitive microtrauma, probably because of overtraining as a soccer goalkeeper. The nature of this pathological change is consistent with the growth of a cam deformity. Especially in the preadolescent age group, we should note that repetitive use of the same joint kinematics may induce a prominent cam deformity.

Publication types

  • Case Reports

MeSH terms

  • Arthroscopy
  • Bone Neoplasms / diagnosis*
  • Bone Neoplasms / surgery
  • Child
  • Cumulative Trauma Disorders / diagnosis
  • Femur Neck / pathology*
  • Humans
  • Male
  • Osteochondroma / diagnosis*
  • Osteochondroma / surgery
  • Soccer / injuries