Current Controversies in Hip Arthroscopy (AANA19)-Extreme FAI-Dr. Dean K. Matsuda, M.D.

Video Transcription

Video Summary

The speaker discusses arthroscopic treatment of severe pincer impingement, emphasizing a modified mid-anterior portal for better access without a posterior portal. They highlight techniques for challenging hips, such as injecting air for distraction, and present studies showing similar outcomes for global and focal impingement. Posterior cam deformities require cautious posterior femoroplasty to avoid vascular damage. Outcomes on posterior decompressions are limited, but some decrease in perfusion is noted with extensive posterior work. The speaker concludes that experienced surgeons can manage global pincer arthroscopically, addressing rim trimming and labral reconstruction while considering anteromedial osteoplasty for residual impingement.

Asset Caption

Instructional Course Lecture: Current Controversies in Hip Arthroscopy

Keywords

arthroscopic treatment

severe pincer impingement

modified mid-anterior portal

posterior cam deformities

global pincer arthroscopy