ABSTRACT
The neurogenic paraosteoarthropaties of the hip is the ossifications ectopiques sitting around the coxo-femoral joint respecting the articular surfaces.We report seven cases of neurogenic paraosteoarthropaties of hip collected to the service of traumato-orthopedic in the UHC Ibn Rochd of Casablanca of the period 1992 until January 2002. These seven cases having in middle age of 28 years a sex-ratio of 0.75. All cases having like etiology the head injury with deep coma either. All cases have been operated for the hip, a three of then were operated for other localizations [2 elbows, 1 knee] according to the functional priority. For the seven cases operated for the hip intervention consisted in an arthrolyse of the hip with exerese of the osteoma. The ways were first the previous way in two cases, the postero-lateral way in three cases and the antero-external way.in two cases. Any case had a postoperative complications there. All these cases followed a rehabilitation of the postoperative with anti-inflammatory, in one case, the radiotherapy was used. The results according to the quotation of Merle d'Aubigne were excellent for 2 cases and good for the five other.The surgical treatment is obligatory when the osteoma is mature [scintigraphy, alkaline phosphatases] or in the case of compressive complications or great functional difficulty. On the other hand, the association of medical and surgical treatment in a pre and postoperative protocol is promising