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Surgical Technique: Arthroscopic Femoral Osteochondroplasty

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

Ganz termed cam impingement “the silent killer of the hip” because advanced damage occurs to the aneural acetabular articular surface before the densely innervated labrum starts to fail, creating symptoms. There is a high predilection for active young adult males where breakdown occurs as the joint exceeds its diminished physiologic limits imposed by the altered morphology. The clinical assessment and imaging are detailed in this chapter. The arthroscope is an important part of the surgical treatment algorithm, identifying the secondary damage that indicates pathological impingement and the need for correction of the underlying cam bump. Most can be corrected arthroscopically and the technique is detailed. With proper patient selection, the results are quite favorable with few complications.

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Author information

Authors and Affiliations

  1. Nashville Sports Medicine Foundation, Nashville, TN, USA

    J. W. Thomas Byrd

Authors
  1. J. W. Thomas Byrd
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Corresponding author

Correspondence to J. W. Thomas Byrd .

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. Hospital for Special Surgery, New York, United States

    Benedict U. Nwachukwu

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Byrd, J.W.T. (2021). Surgical Technique: Arthroscopic Femoral Osteochondroplasty. 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_59-2

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  • DOI: https://doi.org/10.1007/978-1-4614-7321-3_59-2

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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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Chapter history

  1. Latest

    Surgical Technique: Arthroscopic Femoral Osteochondroplasty
    Published:
    20 October 2021

    DOI: https://doi.org/10.1007/978-1-4614-7321-3_59-2

  2. Original

    Surgical Technique: Arthroscopic Femoral Osteochondroplasty
    Published:
    19 April 2014

    DOI: https://doi.org/10.1007/978-1-4614-7321-3_59-1

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