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Arthroscopic Management of Femoroacetabular Impingement

January 01, 2012

Contributors: J W Thomas Byrd, MD; J W Thomas Byrd, MD

Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.
Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.

Femoroacetabular impingement (FAI) is a well-recognized cause of substantial joint damage and secondary osteoarthritis among young, active adults. Arthroscopy can often be effective in assessing and addressing this secondary damage as well as in correcting the underlying impingement. This is a technically demanding procedure that requires a systematic stepwise method in order to assure an optimal outcome. This illustrative example of pincer and cam impingement with an os acetabulum details the technique of arthroscopic correction of FAI. This includes access and survey of the joint; labral mobilization for removal of the os acetabulum and concomitant acetabuloplasty, followed by labral refixation with multiple suture anchors; and correction of the cam lesion from the peripheral compartment.

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