Posterior Femoral Cam Decompression Through an Arthroscopic Anterior Approach With Pre-Bent Hip Burrs
Hip arthroscopy has been increasingly used to treat labral tears and cam and pincer lesions found in femoroacetabular impingement. Although the classic impingement with cam deformity at the proximal femoral anterolateral quadrant is most common, there has been evidence of cam impingement extension t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-12-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628720302103 |
| _version_ | 1819098060452528128 |
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| author | Derek Ochiai, M.D. Timothy Costales, M.D. Thomas Riley, B.S. Michelle Rosado, B.S. Farshad Adib, M.D. |
| author_facet | Derek Ochiai, M.D. Timothy Costales, M.D. Thomas Riley, B.S. Michelle Rosado, B.S. Farshad Adib, M.D. |
| author_sort | Derek Ochiai, M.D. |
| collection | DOAJ |
| description | Hip arthroscopy has been increasingly used to treat labral tears and cam and pincer lesions found in femoroacetabular impingement. Although the classic impingement with cam deformity at the proximal femoral anterolateral quadrant is most common, there has been evidence of cam impingement extension to the anteromedial and posterior quadrants of the proximal femur. Posterior cam decompression carries a theoretical risk of vascular insult and subsequent osteonecrosis, which have led investigators to approach these posterior lesions through an open surgical correction. Recent improvements have led to the development of pre-bent burs that allow for bonier resection flexibility. Here, we report on an arthroscopic posterior cam decompression using the traditional anterior portals and curved hip burs via a figure-of-four positioning technique. |
| first_indexed | 2024-12-22T00:24:59Z |
| format | Article |
| id | doaj.art-05b3ed9867a1441fbf5f24ca9cf55be9 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-22T00:24:59Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-05b3ed9867a1441fbf5f24ca9cf55be92022-12-21T18:45:05ZengElsevierArthroscopy Techniques2212-62872020-12-01912e1871e1877Posterior Femoral Cam Decompression Through an Arthroscopic Anterior Approach With Pre-Bent Hip BurrsDerek Ochiai, M.D.0Timothy Costales, M.D.1Thomas Riley, B.S.2Michelle Rosado, B.S.3Farshad Adib, M.D.4Nirschl Orthopaedic Center for Sports Medicine & Joint Reconstruction, Virginia Hospital Center, Arlington, Virginia, U.S.A.; Address correspondence to Derek Ochiai, M.D., Nirschl Orthopaedic Center, 1715 N George Mason Dr., #504, Arlington, VA 22205.University of Maryland Medical Center, Baltimore, Maryland, U.S.A.Indiana University School of Medicine, Indianapolis, Indiana, U.S.A.Nirschl Orthopaedic Center for Sports Medicine & Joint Reconstruction, Virginia Hospital Center, Arlington, Virginia, U.S.A.University of Maryland Medical Center, Baltimore, Maryland, U.S.A.Hip arthroscopy has been increasingly used to treat labral tears and cam and pincer lesions found in femoroacetabular impingement. Although the classic impingement with cam deformity at the proximal femoral anterolateral quadrant is most common, there has been evidence of cam impingement extension to the anteromedial and posterior quadrants of the proximal femur. Posterior cam decompression carries a theoretical risk of vascular insult and subsequent osteonecrosis, which have led investigators to approach these posterior lesions through an open surgical correction. Recent improvements have led to the development of pre-bent burs that allow for bonier resection flexibility. Here, we report on an arthroscopic posterior cam decompression using the traditional anterior portals and curved hip burs via a figure-of-four positioning technique.http://www.sciencedirect.com/science/article/pii/S2212628720302103 |
| spellingShingle | Derek Ochiai, M.D. Timothy Costales, M.D. Thomas Riley, B.S. Michelle Rosado, B.S. Farshad Adib, M.D. Posterior Femoral Cam Decompression Through an Arthroscopic Anterior Approach With Pre-Bent Hip Burrs Arthroscopy Techniques |
| title | Posterior Femoral Cam Decompression Through an Arthroscopic Anterior Approach With Pre-Bent Hip Burrs |
| title_full | Posterior Femoral Cam Decompression Through an Arthroscopic Anterior Approach With Pre-Bent Hip Burrs |
| title_fullStr | Posterior Femoral Cam Decompression Through an Arthroscopic Anterior Approach With Pre-Bent Hip Burrs |
| title_full_unstemmed | Posterior Femoral Cam Decompression Through an Arthroscopic Anterior Approach With Pre-Bent Hip Burrs |
| title_short | Posterior Femoral Cam Decompression Through an Arthroscopic Anterior Approach With Pre-Bent Hip Burrs |
| title_sort | posterior femoral cam decompression through an arthroscopic anterior approach with pre bent hip burrs |
| url | http://www.sciencedirect.com/science/article/pii/S2212628720302103 |
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