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Surgical Technique: Arthroscopic Femoral Osteochondroplasty Using Articular-Sided Release of the Zona Orbicularis and Periportal Capsular Incisions

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Hip Arthroscopy and Hip Joint Preservation Surgery

Abstract

Femoroacetabular Cam impingement (Cam FAI) is the femoral-induced component of FAI. It results from either local deformity of the head-neck transition or global orientation pathologies. The combination of the deformity with forceful flexion and mostly internal rotation leads to outside-in shearing forces between the femoral head and the acetabular rim resulting in cartilage damage, chondrolabral and chondroosseous separation, cartilage delamination, and tearing of the acetabular labrum. A strategy for patient selection and operative decision-making is suggested. A step-by-step guide for arthroscopic Cam resection using the peripheral compartment first access technique is described. Operative key points including portal placement, Cam exposure, and the technique of resection of anterolateral and more difficult posterolateral Cam deformities including important pitfalls and measures how to avoid complications are added.

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Author information

Authors and Affiliations

  1. Orthopedic Department, Tanta University, Tanta, Egypt

    Mohammed A. Sadakah

  2. OCM Orthopaedische Chirurgie München, Munich, Germany

    Michael Dienst

Authors
  1. Mohammed A. Sadakah
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  2. Michael Dienst
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Corresponding author

Correspondence to Michael Dienst .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  2. Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, USA

    Bedi Asheesh

  3. Department of Orthopedic Surgery, Case Western Reserve University, Cleveland, OH, USA

    Michael J. Salata

  4. Department of Orthopedic Surgery, Duke Medical Center, Durham, NC, USA

    Richard C. Mather III

  5. Department of Orthopedic Surgery, Weill Medical College of Cornell Univers, New York, NY, USA

    Bryan T. Kelly

Section Editor information

  1. Center for Hip Preservation Surgery, Hospital for Special Surgery, New York, NY, USA

    Benedict U. Nwachukwu

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Sadakah, M.A., Dienst, M. (2021). Surgical Technique: Arthroscopic Femoral Osteochondroplasty Using Articular-Sided Release of the Zona Orbicularis and Periportal Capsular Incisions. In: Nho, S.J., Asheesh, B., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7321-3_131-1

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  • DOI: https://doi.org/10.1007/978-1-4614-7321-3_131-1

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7321-3

  • Online ISBN: 978-1-4614-7321-3

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