El pinzamiento femoroacetabular es provocado por un crecimiento excesivo de hueso en el acetábulo (lesión por pinzamiento) o por un exceso de hueso que surge del cuello femoral (lesión Cam). El pinzamiento femoroacetabular suele ser una combinación de pinzamiento y patología Cam que provoca el choque del labrum entre el borde acetabular y el cuello femoral durante el rango de movimiento de la cadera.

Procedure

Remoción de la lesión Cam o por pinzamiento con o sin desmontaje y reparación del labrum acetabular. Esto también puede incluir la remoción de la lesión Cam.

Asheesh Bedi, MD, (Ann Arbor, MI) describes a technique for retracting the capsule during arthroscopic cam resections using the new angled open half-pipe cannula.

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video

Human

Capsular Management and Retraction for Cam Resection

Bruce A. Levy, MD, (Rochester, MN) outlines a surgical technique for using the Arthrex® Flexible Arthroscopic Retractor to retract the distal leaflet of capsule after an interportal capsulotomy has been made during a hip arthroscopy procedure. In this cadaveric video, he outlines the retractor insertion steps and demonstrates the increased exposure and visualization of viewing down the distal femoral neck to perform an osteochondroplasty procedure for cam impingement.

Arthroscopic Retraction of Hip Capsule Featuring the Flexible Arthroscopic Retractor

Imaging and Resection

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CoolCut™ Specialty Series: Hip-Length Shaver Blades and Burrs

BenjaminDomb, MD (Chicago, IL) describes his rationale and surgical techniques foraddressing bony pathology related to femoroacetabular impingement (FAI). Dr. Domb references his preoperative X-raysand multiple fluoroscopic images to demonstrate an arthroscopic surgicaltechnique used to treat the bony morphology associated with FAI.

Treating FAI Surgical Technique

Travis Menge, MD (Grand Rapids, MI), demonstrates an arthroscopic cam resection using a curved hip burr, the ApolloRF® H50 probe, and DualWave™ outflow tubing.

Pinzamiento femoroacetabular

Osteoplastia