Arthroscopic Technique of Femoroacetabular Impingement

Arthroscopic treatment of labral and chondral lesions traditionally have ignored the coexisting impinging lesions that often are the primary anatomic pathology. We have developed a fully arthroscopic approach to femoroacetabular impingement that is able to address not only pertinent labral and chondral pathology but the Cam and pincer lesion as well. Some authors have suggested that it is exceedingly difficult, if not impossible, to address these lesions arthroscopically. Our technique requires precise patient positioning and fluoroscopic imaging in combination with accessory arthroscopic portals to manage these lesions. Arthroscopic management of femoroacetabular impingement provides excellent visualization and results in a shorter period of rehabilitation, fewer potential complications and produces equivalent clinical outcomes when compared with formal, open surgical dislocation.