Raj S. Kullar, M. D. , Ashley L. Kapron, Ph. D. , Daniel Ihnat, M. D

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Acetabular Paralabral Cyst: An Unusual Cause of Femoral Vein Compression  Raj S. Kullar, M.D., Ashley L. Kapron, Ph.D., Daniel Ihnat, M.D., Stephen K. Aoki, M.D., Travis G. Maak, M.D.  Arthroscopy Techniques  Volume 4, Issue 1, Pages e35-e40 (February 2015) DOI: 10.1016/j.eats.2014.10.003 Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 1 Preoperative ultrasound showing common femoral vein (FV) occlusion by extrinsic cystic mass. Arthroscopy Techniques 2015 4, e35-e40DOI: (10.1016/j.eats.2014.10.003) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 2 Magnetic resonance angiogram showing common femoral vein obstruction on right (R) side. Arthroscopy Techniques 2015 4, e35-e40DOI: (10.1016/j.eats.2014.10.003) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 3 (A) Anteroposterior pelvic radiograph showing a lateral center-edge angle of 26°, a lateral sourcil-edge angle of 17°, and an up-sloping sourcil. (B) 90° Dunn lateral radiograph showing an alpha angle of 52°. Arthroscopy Techniques 2015 4, e35-e40DOI: (10.1016/j.eats.2014.10.003) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 4 Preoperative computed tomography scan showing an up-sloping sourcil and lateral center-edge angle of 26°. Arthroscopy Techniques 2015 4, e35-e40DOI: (10.1016/j.eats.2014.10.003) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 5 Preoperative magnetic resonance images showing a paralabral cyst (arrows) originating from a labral tear in the right (R) hip, causing adjacent femoral vein occlusion: (A) axial magnetic resonance slice and (B) sagittal magnetic resonance slice. Arthroscopy Techniques 2015 4, e35-e40DOI: (10.1016/j.eats.2014.10.003) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 6 (A, B) Labral hypertrophy and associated tear between 2:30 and 3:30 clock-face positions. (C) Labrum after repair. Arthroscopy Techniques 2015 4, e35-e40DOI: (10.1016/j.eats.2014.10.003) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 7 Cystic fluid was liberated from the paralabral cyst after it was entered with a shaver. Arthroscopy Techniques 2015 4, e35-e40DOI: (10.1016/j.eats.2014.10.003) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 8 Postoperative ultrasound showing normal flow through the common femoral vein without any signs of obstruction within the window of the probe (cyan line). Arthroscopy Techniques 2015 4, e35-e40DOI: (10.1016/j.eats.2014.10.003) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions