Femoroacetabular Impingement Surgical Techniques

Femoroacetabular impingement (FAI) is increasingly recognized as a disorder that can lead to progressive labral and chondral injury and early hip degeneration. The 2 primary structural abnormalities in the hip responsible for FAI are cam and pincer lesions. Recognition of these lesions through appropriate history, physical examination, and imaging is essential for early diagnosis and surgical correction before the progression of irreversible articular cartilage damage and joint degeneration. Arthroscopic surgical management of FAI involves resection of the pincer lesion in the central compartment with possible refixation of the labrum and/or decompression of the cam lesion in the peripheral compartment.