Challenging Resection Comes in Many Forms: Addressing Difficult Cam Morphology

Area of Science:

• Orthopedic surgery
• Hip arthroscopy
• Biomechanical analysis

Background:

• Femoroacetabular impingement (FAI) with cam morphology often requires surgical intervention when nonoperative management fails.
• Cam morphology exhibits significant variation, presenting challenges for arthroscopic resection.
• Effective treatment necessitates a comprehensive understanding of cam lesion characteristics.

Purpose of the Study:

• To present a systematic approach for preoperative assessment of cam-type FAI.
• To illustrate various intraoperative techniques for arthroscopic cam resection tailored to specific morphologies.
• To guide surgeons in managing challenging cam lesions effectively.

Main Methods:

• Detailed preoperative evaluation protocol for cam-type FAI.
• Demonstration of a range of intraoperative techniques for arthroscopic cam resection.
• Correlation of surgical approaches with specific cam morphologies.

Main Results:

• A systematic approach enables thorough preoperative assessment.
• Varied intraoperative techniques allow for adequate arthroscopic resection of diverse cam lesions.
• Tailoring techniques to cam morphology improves surgical outcomes.

Conclusions:

• Challenging cam lesions in FAI can be effectively managed with hip arthroscopy.
• Preoperative assessment and adaptable intraoperative strategies are crucial for successful cam resection.
• This technique video provides a valuable resource for surgeons treating cam-type FAI.