AANA Hip Arthroscopy - September 2024-Osseous Management

Osseous Management - Pincer, AIIS, Os, Acetabuli

Video Transcription

Video Summary

This talk discusses Pincer Type Femoroacetabular Impingement (FAI) and related osseous rim pathologies. Traditional imaging focuses on focal rim evaluation, but global acetabular coverage varies, complicating diagnosis. Preoperative 3D imaging is crucial. Various conditions—acetabular retroversion, profunda, protrusio, rim fractures, and subspine impingement—require tailored management. Arthroscopic rim resection often preserves the labrum, but severe overcoverage or instability may need osteotomies. Labral reconstruction is primarily for revisions with deficient labra. Rim fractures may be excised or fixed depending on stability. Subspine impingement is addressed via capsular window burr decompression. Surgical choice depends on pathology severity and stability to optimize outcomes.

Keywords

Pincer Type Femoroacetabular Impingement

osseous rim pathologies

3D imaging

arthroscopic rim resection

subspine impingement