Key result
Reproducible arthroscopic portal placements improve visualization and treatment of cam lesions in femoroacetabular impingement.
Describes a novel portal configuration for hip arthroscopy to improve visualization during osteochondroplasty of the femoral head-neck junction.
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May aid peripheral visualization in FAI arthroscopy; leaves open need for outcome validation versus standard portals.
Femoroacetabular impingement is a recognized cause of hip pain and motion restrictions. Advancements in hip arthroscopy have allowed surgeons the ability to treat this condition more effectively. However, the learning curve is steep for osteochondroplasty of the femoral head-neck junction in the peripheral compartment. Therefore we present a reproducible technique that allows improved visualization of the peripheral compartment and treatment of the cam lesion with hip arthroscopy. Our technique uses the anterior portal as a viewing portal, a distal anterolateral accessory portal as a working portal, and the anterolateral portal for soft-tissue retraction.
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Suslak et al. (2012) studied Femoroacetabular impingement. Arthroscopic technique using anterior, distal anterolateral accessory, and anterolateral portals was evaluated. A reproducible arthroscopic technique using specific portal placements allows for improved visualization of the peripheral compartment and treatment of cam lesions in femoroacetabular impingement.
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