APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Osseous Management

Osseous Management - Pincer, AIIS, Os, Acetabuli

Video Transcription

Video Summary

This presentation discusses Pincer Type Femoroacetabular Impingement (FAI) and osseous acetabular rim pathologies. It highlights limitations of traditional radiographic criteria, emphasizing 3D imaging for precise evaluation of acetabular coverage and morphology. Various bony rim disorders, including acetabular retroversion, overcoverage (profunda, protrusio), rim fractures, and subspine impingement are addressed. Arthroscopic rim resection techniques preserving labral attachment are explained, noting when labral takedown or reconstruction is needed. Management of rim fractures depends on stability, with fixation indicated if destabilizing. Subspine impingement requires targeted decompression. Severe cases may require surgical dislocation or osteotomies, especially dysplastic hips.

Asset Caption

Christopher M. Larson, M.D.

Keywords

Pincer Type Femoroacetabular Impingement

osseous acetabular rim pathologies

3D imaging acetabular evaluation

arthroscopic rim resection

subspine impingement management