AANA19 Hip Access Pass-Debate_ Rim Trim and Resect CAM per Imaging-Dr. Shane J. Nho, M.D.

Debate_ Rim Trim and Resect CAM per Imaging-Dr. Shane J. Nho, M.D.

Video Transcription

Video Summary

The speaker discusses the diagnosis and treatment of femoroacetabular impingement (FAI), emphasizing the limitations of plain x-rays for detecting subtle CAM and pincer deformities. While x-rays serve as an initial screening tool, 3D imaging, especially CT scans, offers a comprehensive view of hip pathomorphology and global orientation issues, though MRI advancements show promise as a radiation-free alternative. Intraoperative fluoroscopy, guided by standardized leg positioning and computer navigation, enables precise identification and correction of CAM deformities. For pincer deformities, fluoroscopy helps visualize anterior acetabular issues. Overall, 3D imaging and systematic intraoperative imaging improve preoperative planning and surgical outcomes in FAI treatment.

Keywords

femoroacetabular impingement

CAM deformity

pincer deformity

3D imaging

intraoperative fluoroscopy