Management of Incarcerating Pincer-type Femoroacetabular Impingement with Hip Arthroscopy

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2014 Apr 22

PMID 24749038

Citations 5

Authors

Amir A Jamali

Andrea Palestro

John P Meehan

Meghan Sampson

Affiliations

Soon will be listed here.

Abstract

This report describes the arthroscopic management of a case of incarcerating pincer-type femoroacetabular impingement. The hip joint had a marked restriction of range of motion and secondary pain as a result of osteophytes wrapping around the femoral head down the femoral neck. The patient was treated with staged bilateral hip arthroscopy. The procedures were initially performed through the peripheral compartment to remove the incarcerating acetabular rim, followed by arthroscopy of the central compartment with acetabuloplasty and femoral head osteochondroplasty. The patient's treatment has led to an excellent clinical and radiographic result at 24 months' follow-up despite an unrelated pelvic fracture sustained in the postoperative period. This technique emphasizes the capabilities of hip arthroscopy in advanced cases of femoroacetabular impingement as an alternative to arthroplasty for patients with healthy articular cartilage.

Citing Articles

Outcomes in Patients with Global Pincer Versus Focal Pincer Femoroacetabular Impingement Treated with Hip Arthroscopy: A Retrospective Study with a Minimum 2-Year Follow-Up.

Shao J, He Z, Xu Y, Dai L, Wang J, Ju X Orthop Surg. 2022; 15(1):223-229.

PMID: 36440529 PMC: 9837257. DOI: 10.1111/os.13592.

How Should We Define Clinically Significant Outcome Improvement on the iHOT-12?.

Nwachukwu B, Chang B, Beck E, Neal W, Movassaghi K, Ranawat A HSS J. 2019; 15(2):103-108.

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The clinical outcome of chondrolabral-preserving arthroscopic acetabuloplasty for pincer- or mixed-type femoroacetabular impingement: A systematic review.

Malahias M, Alexiades M Musculoskelet Surg. 2019; 103(3):207-214.

PMID: 30850935 DOI: 10.1007/s12306-019-00594-2.

Arthroscopic treatment of global pincer-type femoroacetabular impingement.

Sanders T, Reardon P, Levy B, Krych A Knee Surg Sports Traumatol Arthrosc. 2016; 25(1):31-35.

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Open and Arthroscopic Surgical Treatment of Femoroacetabular Impingement.

Kuhns B, Frank R, Pulido L Front Surg. 2015; 2:63.

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