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Hip Arthroscopy for Femoroacetabular Impingement
F Winston Gwathmey1, Jasraj Raghuwanshi2
1Department of Orthopaedic Surgery, Division of Sports Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Video Journal of Sports Medicine
|May 1, 2025
Summary
Hip arthroscopy effectively treats femoroacetabular impingement (FAI) in athletes when conservative methods fail. This procedure offers pain relief and improved function, with most patients returning to sport within months.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopy
Background:
- Femoroacetabular impingement (FAI) causes hip pain from joint shape mismatch, common in young athletes.
- FAI presents as cam (femoral) or pincer (acetabular) deformities.
- Hip arthroscopy is a key surgical technique for FAI management.
Purpose of the Study:
- To provide a comprehensive tutorial on best practices for hip arthroscopy in FAI.
- To elucidate the nuances of FAI surgical techniques.
Main Methods:
- Surgical technique involves anatomical labral repair.
- Osteoplasty to correct deformities and prevent retearing is crucial.
- Careful management of soft tissues and capsular closure are performed.
Main Results:
- Goals include reduced pain and improved hip function.
- Approximately 90% of patients return to sport 6-8 months post-surgery.
Conclusions:
- Hip arthroscopy is a safe and effective treatment for FAI.
- It is indicated for patients who have not responded to conservative therapy.
