case_images: PMC11151462_01
case_images: (a) Anteroposterior pelvis radiograph. Double calcifications are seen pre-operatively at the superolateral edge of both acetabula, separated by a subtle radiolucent line and a small subarticular cyst. The calcification of the rectus femoris originating from the anterior inferior iliac spine is denoted on the right hip by the solid white arrow, while the punctate calcifications of the acetabular labrum is denoted by the solid black arrow. (b) C Profile view revealing the labral and the rectus calcifications, a synovial herniation pit and the cam morphology of the femoral head.
case_images: SAJR-28-2874-g001.jpg
case_images: PMC11151462_01_SAJR-28-2874-g001.jpg
case_images: F0001
case_images: Plain radiographs of her pelvis demonstrated calcifications around the superolateral aspects of both acetabula, a synovial herniation pit, cam morphology and a small subarticular cyst (Figure 1a and Figure 1b).
case_images: Right hip. Arthroscopy images demonstrating the labral calcifications (yellow star). They were expressed, debrided, and evacuated with radiofrequency and a shaver device. Bottom right: Labrum post removal of calcification. L (labrum) FH (femoral head).
case_images: SAJR-28-2874-g002.jpg
case_images: PMC11151462_01_SAJR-28-2874-g002.jpg
case_images: F0002
case_images: During probe mobilisation of the ruptured labrum, calcifications were identified anterosuperiorly within the labrum and the capsule-labral recess (Figure 2).
case_images: Right hip. Arthroscopy images showing the rectus (direct head) calcifications (Black star) and the removal process.
case_images: SAJR-28-2874-g003.jpg
case_images: PMC11151462_01_SAJR-28-2874-g003.jpg
case_images: F0003
case_images: During decompression of the subspine region, calcifications were also found within the rectus femoris (direct portion) (Figure 3).
case_images: (a) Post-operative plain anteroposterior pelvis radiograph showing almost complete resolution of the calcifications at both hip joints after right hip arthroscopy with residual faint linear calcifications. (b) Right hip. Profile radiograph showing complete removal of the calcifications and cam excision.
case_images: SAJR-28-2874-g004.jpg
case_images: PMC11151462_01_SAJR-28-2874-g004.jpg
case_images: F0004
case_images: At the outpatient follow-up visit 3 months after surgery, plain radiographs (Figure 4a and b) revealed almost complete disappearance of the previously observed calcifications in the right hip and surprisingly, spontaneous resolution in the untreated left hip with faint linear residual calcification bilaterally.