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First published on April 9, 2007, doi:10.1177/0363546507300258
This version was published on September 1, 2007
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The American Journal of Sports Medicine 35:1571-1580 (2007)
© 2007 American Orthopaedic Society for Sports Medicine

Spotlight on Surgical Techniques

Arthroscopic Management of Femoroacetabular Impingement

Osteoplasty Technique and Literature Review

Marc J. Philippon, MD{dagger},*, Allston J. Stubbs, MD{dagger}, Mara L. Schenker{dagger}, R. Brian Maxwell{dagger}, Reinhold Ganz, MD{ddagger} and Michael Leunig, MD§

From the {dagger} Steadman-Hawkins Research Foundation, Steadman-Hawkins Clinic, Vail, Colorado, {ddagger} Balgrist University, Department of Orthopaedic Surgery, Zurich, Switzerland, and § Clinic Shulthess, Zurich, Switzerland

* Address correspondence to Marc J. Philippon, MD, Steadman-Hawkins Research Foundation, Attn: Clinical Research, 181 W Meadow Drive, Suite 1000, Vail, CO 81657 (e-mail: karen.briggs{at}shsmf.org).

Morphological and spatial abnormalities of the proximal femur and acetabulum have been recently recognized as causes of femoroacetabular impingement. During joint motion in hips with femoroacetabular impingement, abnormal bony contact occurs, and soft tissue structures (chondral and labral) often fail. Femoroacetabular impingement has been reported to be a contributor to early-onset joint degeneration. Ganz et al have described good midterm success with an open surgical dislocation approach to reconstruct normal joint clearance. The purpose of this report is to discuss relevant literature and describe an arthroscopic approach to treat femoroacetabular impingement. This approach has particular relevance in high-demand patients, particularly in athletes seeking to return to high-level sport.

Key Words: femoroacetabular impingement • hip arthroscopy • osteoplasty • labral tear






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