Technical Note| Volume 25, ISSUE 10, P1183-1192, October 2009

Intraoperative Fluoroscopy for Evaluation of Bony Resection During Arthroscopic Management of Femoroacetabular Impingement in the Supine Position

  • Christopher M. Larson
    Address correspondence and reprint requests to Christopher M. Larson, M.D., Department of Orthopaedics, Minnesota Sports Medicine Sports Fellowship Program, 775 Prairie Center Dr, Ste 250, Flagship Corporate Center, Eden Prairie, MN 55344, U.S.A.
    Minnesota Orthopaedic Sports Medicine Institute and Twin Cities Orthopedics, Minneapolis, Minnesota, U.S.A.
    Search for articles by this author
  • Corey A. Wulf
    Minnesota Orthopaedic Sports Medicine Institute and Twin Cities Orthopedics, Minneapolis, Minnesota, U.S.A.
    Search for articles by this author


      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.

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