Static and Dynamic Mechanical Causes of Hip Pain

Arthroscopic capsulotomy along head-neck junction of femur to fully visualize and expose cam lesion. Full exposure and visualization of the superolateral retinacular vessels are necessary to define the entire lesion and confirm a safe but thorough resection to restore offset in all planes. (Video courtesy of Bryan T. Kelly, M.D.)

Arthroscopic cam resection. The proximal margin is defined from superolaterally to anteromedially. Lesion is viewed from multiple angles to confirm restoration of offset and contour in the proximal-distal and medial-lateral planes. Superolateral exposure adjacent to the retinacular vessels is often most difficult but also critical to avoid missed osseous pathology. (Video courtesy of Bryan T. Kelly, M.D.)

Anatomic labral repair. Sutures are passed through the labrum in a horizontal mattress configuration to minimize eversion of the labrum. Simple sutures can result in eversion of the labrum at the tear and disruption of the “suction seal” with reduction of the hip. (Video courtesy of Bryan T. Kelly, M.D.)