Abstract
There is a steep learning curve regarding many aspects of arthroscopic management
of femoroacetabular impingement. One of the concerns with regard to this approach
is verification of appropriate bony resection for cam- and pincer-type pathology.
Dynamic assessment and direct visualization of bony resection are the primary means
of evaluating appropriate resection. Intraoperative fluoroscopy, however, can be a
helpful adjunct when performing the rim resection or femoral resection osteoplasty.
We describe a predictable and reproducible fluoroscopic method for performing and
verifying appropriate bony resection of pincer and cam lesions in an attempt to help
minimize the risk of under- and over-resection.
Key Words
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References
- Anterior femoroacetabular impingement: Part II.Clin Orthop Relat Res. 2004; : 67-73
- Treatment of anterior femoroacetabular impingement with combined hip arthroscopy and limited anterior decompression.Iowa Orthop J. 2005; 25: 164-171
- Arthroscopic management of femoroacetabular impingement: Early outcomes measures.Arthroscopy. 2008; 24: 540-546
- Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement.Arthroscopy. 2009; 25: 369-376
- Arthroscopic treatment of femoroacetabular impingement.Arthroscopy. 2006; 22: 95-106
- Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction minimum two-year follow-up.J Bone Joint Surg Br. 2009; 91: 16-23
- Combined arthroscopic and modified open approach for cam femoroacetabular impingement.Arthroscopy. 2009; 25: 392-399
- Advanced techniques in hip arthroscopy.Instr Course Lect. 2009; 58: 423-436
- Arthroscopic femoroplasty in the management of cam-type femoroacetabular impingement.Clin Orthop Relat Res. 2009; 467: 739-746
- The management of labral tears and femoroacetabular impingement of the hip in the young, active hip.Arthroscopy. 2008; 24: 1135-1145
- Arthroscopic treatment of cam-type femoroacetabular impingement: Preliminary report at 2 years minimum follow-up.J Arthroplasty. 2008; 23: 226-234
- Surgical correction of “cam-type” femoroacetabular impingement: A cadaveric comparison of open versus arthroscopic debridement.Arthroscopy. 2009; 25: 175-182
- Acute iatrogenic dislocation following hip impingement arthroscopic surgery.Arthroscopy. 2009; 25: 400-404
- Anterior dislocation of the hip after arthroscopy in a patient with capsular laxity of the hip.J Bone Joint Surg Am. 2009; 91: 192-197
- Complications of arthroscopic femoroacetabular impingement treatment: A review.Clin Orthop Relat Res. 2009; 467: 760-768
- Revision hip arthroscopy.Am J Sports Med. 2007; 35: 1918-1921
- A new method for acetabular rim trimming and labral repair.Clin Sports Med. 2006; 25 (ix): 293-297
- Treatment of femoroacetabular impingement: Preliminary results of labral refixation.J Bone Joint Surg Am. 2006; 88: 925-993
- Arthroscopic management of femoroacetabular impingement: Osteoplasty technique and literature review.Am J Sports Med. 2007; 35: 1571-1580
- Hip subluxation as a complication of arthroscopic debridement.Arthroscopy. 2009; 25: 405-407
- How accurately can the acetabular rim be trimmed in hip arthroscopy for pincer-type femoral acetabular impingement: A cadaveric investigation.Arthroscopy. 2009; 25: 164-168
Article info
Footnotes
C.M.L. receives financial support for education from Smith & Nephew. C.A.W. reports no conflict of interest.
Identification
Copyright
© 2009 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
