Skip to main content
SpringerLink
Log in

Open Management of CAM Deformities in FAI

  • Chapter
  • First Online:
Diagnosis and Management of Femoroacetabular Impingement

  • 1139 Accesses

Abstract

Femoroacetabular impingement (FAI) is defined as an anatomic abnormality causing impingement of the femoral head-neck region against the acetabular rim. Hip joint preservation surgery is indicated in the young, symptomatic patient who has failed conservative treatment for their symptoms. Surgical management of cam deformities in FAI consists of performing an osteochondroplasty of the femoral head-neck junction, which can be done through an open surgical dislocation of the hip as described by Ganz et al. (J Bone Joint Surg (Br) 83:1119–24, 2001), hip arthroscopy, or a minimally invasive open approach that can be combined with arthroscopy. This chapter will discuss the surgical techniques and evidence surrounding open management of cam deformities in FAI. Decision-making should be based on the location of the cam lesion, associated pathology, deformity of the proximal femur, and the surgeon’s technical preferences. Patients with significant joint degeneration are better served with an arthroplasty procedure, as outcomes with joint preservation surgery in this group have been shown to be inferior.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Barton C, Banga K, Beaule PE. Anterior Hueter approach in the treatment of femoro-acetabular impingement: rationale and technique. Orthop Clin of North Am. 2009;40:389–95.

    Article  Google Scholar 

  2. Bastian JD, Wolf AT, Wyss TF, Notzli HP. Stepped osteotomy of the trochanter for stable anatomic refixation. Clin Orthop Relat Res. 2009;467:732–8.

    Article  PubMed  Google Scholar 

  3. Beaule PE, Allen DJ, Beck M, Clohisy JC, Schoenecker P, Leunig M. The young adult with hip impingement: deciding on the optimal intervention. J Bone Joint Surg. 2009;91(1):210–21.

    PubMed  Google Scholar 

  4. Beaule PE, Le Duff MJ, Zaragoza E. Quality of life following femoral head-neck osteochondroplasty for femoroacetabular impingement. J Bone Joint Surg. 2007;89(4):773–9.

    Article  PubMed  Google Scholar 

  5. Beck M, Leunig M, Parvizi J, Boutier V, Wyss D, Ganz R. Anterior femoroacetabular impingement. Part II. Midterm results of surgical treatment. Clin Orthop Relat Res. 2004;418:67–73.

    Article  PubMed  Google Scholar 

  6. Bedi A, Zaltz I, De La Torre K, Kelly BT. Radiographic comparison of surgical hip dislocation for the treatment of cam deformity in femoroacetabular impingement. Am J Sports Med. 2011;39(Suppl):20S–8.

    Article  PubMed  Google Scholar 

  7. Carlisle JC, Zebala LP, Shia DS, Hunt D, Morgan PM, Prather H, Wright RW, Steger-May K, Clohisy JC. Reliability of various observers in determining common radiographic parameters of adult hip structural anatomy. Iowa Orthop J. 2011;31:52–8.

    PubMed  PubMed Central  Google Scholar 

  8. Chiron P, Espie A, Reina N, Cavaignac E, Molinier F, Laffosse J-M. Surgery for femoroacetabular impingement using a minimally invasive anterolateral approach: analysis of 118 cases at 2.2 years follow up. Orthop Traumatol. 2012;98(1):30–8.

    CAS  Google Scholar 

  9. Clohisy JC, Zebala LP, Nepple JJ, Pashos G. Combined hip arthroscopy and limited open osteochondroplasty for anterior femoroacetabular impingement. J Bone Joint Surg Am. 2010;92(8):1697–706.

    Google Scholar 

  10. Cohen SB, Huang R, Ciccotti MG, Dodson CC, Parvizi J. Treatment of femoroacetabular impingement in athletes using a mini-direct anterior approach. J Sports Med. 2012;40(7):1620–7.

    Article  Google Scholar 

  11. Diaz-Ledezma C, Parvizi J. Surgical approaches for CAM femoroacetabular impingement: the use of a multicriteria decision analysis. Clin Orthop Relat Res. 2013;471(8):2509–16.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Ganz R, Gill TJ, Gautier E, Ganz K, Krugel N, Berlemann U. Surgical dislocation of the adult hip: a technique with full access to the femoral head and acetabulum without risk of avascular necrosis. J Bone Joint Surg (Br). 2001;83(B-8):1119–24.

    Article  CAS  Google Scholar 

  13. Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–20.

    PubMed  Google Scholar 

  14. Graves ML, Mast JW. Femoroacetabular impingement: Do outcomes predictably improve with surgical dislocations. Clin Orthop Relat Res. 2009;467(3):717–23.

    Article  PubMed  Google Scholar 

  15. Lincoln M, Johnston K, Muldoon M, Santore R. Combined arthroscopic and modified open approach for CAM femoroacetabular impingement: a preliminary experience. Arthroscopy. 2009;25(4):392–9.

    Article  PubMed  Google Scholar 

  16. Mardones RM, Gonzalez C, Chen Q, Zobitz M, Kaufman KR, Trousdale RT. Surgical treatment of femoroacetabular impingement: evaluation of the effect of the size of the resection. J Bone Joint Surg. 2005;87(2):273–9.

    Article  PubMed  Google Scholar 

  17. Naal FP, Miozarri HH, Wyss TF, Notzli HP. Surgical Hip dislocation for the treatment of femoroacetabular impingement in athletes. Am J Sports Med. 2011;39(3):544–50.

    Article  PubMed  Google Scholar 

  18. Parvizi J, Huang R, Diaz-Ledezma C, Og B. Mini-open femoroacetabular osteoplasty: how do these patients do? J Arthroplasty. 2012;27(8):122–5.

    Article  PubMed  Google Scholar 

  19. Peters CL, Erickson JA. Treatment of femoroacetabular impingement with surgical dislocation and debridement in young adults. J Bone Joint Surg. 2006;88(8):1735–41.

    Article  PubMed  Google Scholar 

  20. Ribas M, Ledesma R, Cardenas C, Marin-Pena O, Toro J, Caceres E. Clinical results after anterior mini-open approach for femoroacetabular impingement in early degenerative stage. Hip Int. 2010;20 Suppl 7:S36–42.

    Article  PubMed  Google Scholar 

  21. Yun HH, Shon WY, Yun JY. Treatment of femoroacetabular impingement with surgical dislocation. Clin Orthop Surg. 2009;1(3):146–54.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Zingg PO, Ulbrich EJ, Buehler TC, Kalberer F, Poutawera VR, Dora C. Surgical hip dislocation versus hip arthroscopy for femoroacetabular impingement: clinical and morphological short-term results. Arch Orthop Trauma Surg. 2013;133(1):60–79.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Orthopaedic Surgery, Department of Surgery, University of Alberta, 400 – Community Service Center, Royal Alexandra Hospital, 10240 Kingsway Avenue, Edmonton, AB, T5H 3V9, Canada

    Colleen A. Weeks MD, FRCSC

  2. Division of Orthopaedics, Department of Surgery, Western University, Schulich School of Medicine, A9-028, 339 Windermere Road, London, ON, N6A 5A5, Canada

    Douglas D. R. Naudie MD, FRCSC

  3. Division of Orthopaedic Surgery, Department of Surgery, London Health Sciences Center, University Hospital, London, ON, Canada

    Douglas D. R. Naudie MD, FRCSC

  4. Joint Replacement Institute, London, ON, Canada

    Douglas D. R. Naudie MD, FRCSC

Authors
  1. Colleen A. Weeks MD, FRCSC
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Douglas D. R. Naudie MD, FRCSC
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Douglas D. R. Naudie MD, FRCSC .

Editor information

Editors and Affiliations

  1. McMaster University, Hamilton, Ontario, Canada

    Olufemi R. Ayeni

  2. Hosp, Academy University of Gothenburg, Dept. of Orthopaedics, Sahlgrenska Univ Hosp, Academy University of Gothenburg, Gothenburg, Sweden

    Jón Karlsson

  3. Steadman Clinic, Ste 1000, Steadman Philippon Research Inst Steadman Clinic, Ste 1000, Vail, Colorado, USA

    Marc J Philippon

  4. Stanford University Dept of Orthopaedic Surg, M/C 6342, Redwood City, California, USA

    Marc R. Safran

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Weeks, C.A., Naudie, D.D.R. (2017). Open Management of CAM Deformities in FAI. In: Ayeni, O., Karlsson, J., Philippon, M., Safran, M. (eds) Diagnosis and Management of Femoroacetabular Impingement. Springer, Cham. https://doi.org/10.1007/978-3-319-32000-7_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-32000-7_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31998-8

  • Online ISBN: 978-3-319-32000-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation