Arthroscopic Treatment of Labral Tears and Concurrent Avascular Necrosis of the Femoral Head in Young Adults

Avascular necrosis (AVN) of the femoral head is a progressive disease affecting young adults that results in collapse of the femoral head and subsequent degenerative joint disease. Although precollapse stages of AVN can be successfully treated with core decompression, making the diagnosis is often d...

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Main Authors: David M. Beck, M.D., Brian K. Park, M.D., Thomas Youm, M.D., Theodore S. Wolfson, B.S.E.
Format: Article
Language:English
Published: Elsevier 2013-11-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628713000649
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author David M. Beck, M.D.
Brian K. Park, M.D.
Thomas Youm, M.D.
Theodore S. Wolfson, B.S.E.
author_facet David M. Beck, M.D.
Brian K. Park, M.D.
Thomas Youm, M.D.
Theodore S. Wolfson, B.S.E.
author_sort David M. Beck, M.D.
collection DOAJ
description Avascular necrosis (AVN) of the femoral head is a progressive disease affecting young adults that results in collapse of the femoral head and subsequent degenerative joint disease. Although precollapse stages of AVN can be successfully treated with core decompression, making the diagnosis is often difficult given alternative sources of hip pain in this age group. We propose that arthroscopic-assisted core decompression of the femoral head offers an effective method of addressing AVN of the femoral head as well as coexistent hip disorders in the same operation. This article describes in detail the technique used to perform an arthroscopic-assisted core decompression of the femoral head, and a companion video demonstrating the procedure is included. Our experience suggests that arthroscopic-assisted core decompression can be used as an alternative to open core decompression, while simultaneously addressing other sources of hip pain, with successful outcomes.
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spelling doaj.art-67e377e50c2449bd9e6a613e68dd3b7b2022-12-21T19:23:48ZengElsevierArthroscopy Techniques2212-62872013-11-0124e367e371Arthroscopic Treatment of Labral Tears and Concurrent Avascular Necrosis of the Femoral Head in Young AdultsDavid M. Beck, M.D.0Brian K. Park, M.D.1Thomas Youm, M.D.2Theodore S. Wolfson, B.S.E.3School of Medicine, New York University, New York, New York, U.S.A.; Address correspondence to David M. Beck, M.D., Thomas Jefferson University Hospital, 1015 Walnut Street, Room 801, Philadelphia, PA, 19107.Hospital for Joint Diseases, New York University, New York, New York, U.S.A.Hospital for Joint Diseases, New York University, New York, New York, U.S.A.Hospital for Joint Diseases, New York University, New York, New York, U.S.A.Avascular necrosis (AVN) of the femoral head is a progressive disease affecting young adults that results in collapse of the femoral head and subsequent degenerative joint disease. Although precollapse stages of AVN can be successfully treated with core decompression, making the diagnosis is often difficult given alternative sources of hip pain in this age group. We propose that arthroscopic-assisted core decompression of the femoral head offers an effective method of addressing AVN of the femoral head as well as coexistent hip disorders in the same operation. This article describes in detail the technique used to perform an arthroscopic-assisted core decompression of the femoral head, and a companion video demonstrating the procedure is included. Our experience suggests that arthroscopic-assisted core decompression can be used as an alternative to open core decompression, while simultaneously addressing other sources of hip pain, with successful outcomes.http://www.sciencedirect.com/science/article/pii/S2212628713000649
spellingShingle David M. Beck, M.D.
Brian K. Park, M.D.
Thomas Youm, M.D.
Theodore S. Wolfson, B.S.E.
Arthroscopic Treatment of Labral Tears and Concurrent Avascular Necrosis of the Femoral Head in Young Adults
Arthroscopy Techniques
title Arthroscopic Treatment of Labral Tears and Concurrent Avascular Necrosis of the Femoral Head in Young Adults
title_full Arthroscopic Treatment of Labral Tears and Concurrent Avascular Necrosis of the Femoral Head in Young Adults
title_fullStr Arthroscopic Treatment of Labral Tears and Concurrent Avascular Necrosis of the Femoral Head in Young Adults
title_full_unstemmed Arthroscopic Treatment of Labral Tears and Concurrent Avascular Necrosis of the Femoral Head in Young Adults
title_short Arthroscopic Treatment of Labral Tears and Concurrent Avascular Necrosis of the Femoral Head in Young Adults
title_sort arthroscopic treatment of labral tears and concurrent avascular necrosis of the femoral head in young adults
url http://www.sciencedirect.com/science/article/pii/S2212628713000649
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