Hip Arthroscopy for Femoroacetabular Impingement.

BACKGROUND

Femoroacetabular impingement (FAI) is pain due to shape mismatch at the hip joint commonly affecting young athletes, and there are 2 main types depending on which bone has the underlying deformity: cam (femoral) and pincer (acetabular). Hip arthroscopy is an invaluable technique in the sports surgeon repertoire, and there is a need for a comprehensive tutorial that elucidates the best practices and nuances.

INDICATIONS

Pain with evidence of FAI and labral tear on imaging, and failing conservative treatment, warrants arthroscopy.

TECHNIQUE DESCRIPTION

FAI surgery requires anatomical labral repair, thorough osteoplasty to correct the underlying deformity and prevent labral retearing, and careful treatment of soft tissues and capsular closure.

RESULTS

Reduced pain and improved hip function are the goals of treatment, with approximately 90% of patients returning to sport at 6 to 8 months postoperatively.

DISCUSSION/CONCLUSION: Hip arthroscopy is a safe and effective treatment for patients with FAI who failed conservative therapy.

PATIENT CONSENT DISCLOSURE STATEMENT

The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.