AANA Hip Arthroscopy - September 2024-CAM Impingement

Video Transcription

Video Summary

Dr. Mike Salata presents a comprehensive overview of CAM impingement, emphasizing diagnosis and treatment focusing mainly on the osteochondral layer critical to hip mechanics. Evaluation includes specific X-rays, MRI, CT scans, and 3D imaging for precise identification. He highlights the limitations of the alpha angle alone and advocates considering femoral offset for assessment and adequacy of resection. Proper visualization and capsular management during surgery are critical, with techniques like T-capsulotomy and interportal capsulotomy with retention sutures. Salata stresses thorough but careful CAM resection, using multiple views and fluoroscopy to restore hip function and prevent revision surgeries.

Keywords

CAM impingement

osteochondral layer

hip mechanics

alpha angle limitations

capsular management