Treatment of anterior femoroacetabular impingement with combined hip arthroscopy and limited anterior decompression
Anterior femoroacetabular impingement results from abnormal abutment of the anterolateral femoral head-neck junction with the anterior acetabular-labral complex resulting in pain and progressive hip dysfunction. This under-recognized problem could be the manifestation of acetabular or proximal femor...
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Veröffentlicht in: | The Iowa orthopaedic journal 2005, Vol.25, p.164-171 |
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description | Anterior femoroacetabular impingement results from abnormal abutment of the anterolateral femoral head-neck junction with the anterior acetabular-labral complex resulting in pain and progressive hip dysfunction. This under-recognized problem could be the manifestation of acetabular or proximal femoral deformity, and when left untreated leads to the development of osteoarthritis of the hip. Conservative treatment is usually unsuccessful and the optimal surgical treatment for these disorders needs to be determined. We present our technique for treating femoral (cam) impingement which combines hip arthroscopy and a limited open anterior head-neck osteoplasty as a less invasive and more conservative surgical approach, which still adequately addresses the anatomy and pathophysiology of this disease. |
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This under-recognized problem could be the manifestation of acetabular or proximal femoral deformity, and when left untreated leads to the development of osteoarthritis of the hip. Conservative treatment is usually unsuccessful and the optimal surgical treatment for these disorders needs to be determined. We present our technique for treating femoral (cam) impingement which combines hip arthroscopy and a limited open anterior head-neck osteoplasty as a less invasive and more conservative surgical approach, which still adequately addresses the anatomy and pathophysiology of this disease.</description><identifier>ISSN: 1541-5457</identifier><identifier>EISSN: 1555-1377</identifier><identifier>PMID: 16089092</identifier><language>eng</language><publisher>United States: Dept. of Orthopaedics, The University of Iowa</publisher><subject>Acetabulum - diagnostic imaging ; Acetabulum - pathology ; Arthroscopy ; Debridement ; Femur - diagnostic imaging ; Femur - pathology ; Hip Joint ; Humans ; Joint Diseases - diagnostic imaging ; Joint Diseases - surgery ; Physical Examination ; Radiography ; Sports and Arthroscopy</subject><ispartof>The Iowa orthopaedic journal, 2005, Vol.25, p.164-171</ispartof><rights>Copyright © 2005, The Iowa Orthopaedic Journal 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1888771/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1888771/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,4009,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16089092$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Clohisy, John C</creatorcontrib><creatorcontrib>McClure, J Thomas</creatorcontrib><title>Treatment of anterior femoroacetabular impingement with combined hip arthroscopy and limited anterior decompression</title><title>The Iowa orthopaedic journal</title><addtitle>Iowa Orthop J</addtitle><description>Anterior femoroacetabular impingement results from abnormal abutment of the anterolateral femoral head-neck junction with the anterior acetabular-labral complex resulting in pain and progressive hip dysfunction. This under-recognized problem could be the manifestation of acetabular or proximal femoral deformity, and when left untreated leads to the development of osteoarthritis of the hip. Conservative treatment is usually unsuccessful and the optimal surgical treatment for these disorders needs to be determined. We present our technique for treating femoral (cam) impingement which combines hip arthroscopy and a limited open anterior head-neck osteoplasty as a less invasive and more conservative surgical approach, which still adequately addresses the anatomy and pathophysiology of this disease.</description><subject>Acetabulum - diagnostic imaging</subject><subject>Acetabulum - pathology</subject><subject>Arthroscopy</subject><subject>Debridement</subject><subject>Femur - diagnostic imaging</subject><subject>Femur - pathology</subject><subject>Hip Joint</subject><subject>Humans</subject><subject>Joint Diseases - diagnostic imaging</subject><subject>Joint Diseases - surgery</subject><subject>Physical Examination</subject><subject>Radiography</subject><subject>Sports and Arthroscopy</subject><issn>1541-5457</issn><issn>1555-1377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkE9LxDAQxYso7rr6FSQnb4WmaZvkIsjiPxC8rOcybSfbSNPUJFX22xt1XfQ0w7zH783MUbKkZVmmlHF-_NUXNC2Lki-SM-9fs4zxSlSnyYJWmZCZzJeJ3ziEYHAMxCoCY0CnrSMKjXUWWgzQzAM4os2kxy1-Gz906ElrTaNH7EivJwIu9M761k67yOjIoI0OUTvwOoz-yaH32o7nyYmCwePFvq6Sl7vbzfohfXq-f1zfPKUT5TKksmkqVYl4g2AKGe-UaHPkGGeSZiBo3jWSqVxwJVUHrMwpZIy1SspGMeBslVz_cKe5Mdi1cXcHQz05bcDtagu6_q-Muq-39r2mQgjOaQRc7QHOvs3oQ220b3EYYEQ7-7oSRUUzXkTj5d-kQ8Tvn9kneth_5A</recordid><startdate>2005</startdate><enddate>2005</enddate><creator>Clohisy, John C</creator><creator>McClure, J Thomas</creator><general>Dept. of Orthopaedics, The University of Iowa</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2005</creationdate><title>Treatment of anterior femoroacetabular impingement with combined hip arthroscopy and limited anterior decompression</title><author>Clohisy, John C ; McClure, J Thomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p179t-9bb6f6854183fe37df8c2e7ef68910a812db93f287f9fda3521a033cf99bf3a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Acetabulum - diagnostic imaging</topic><topic>Acetabulum - pathology</topic><topic>Arthroscopy</topic><topic>Debridement</topic><topic>Femur - diagnostic imaging</topic><topic>Femur - pathology</topic><topic>Hip Joint</topic><topic>Humans</topic><topic>Joint Diseases - diagnostic imaging</topic><topic>Joint Diseases - surgery</topic><topic>Physical Examination</topic><topic>Radiography</topic><topic>Sports and Arthroscopy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Clohisy, John C</creatorcontrib><creatorcontrib>McClure, J Thomas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Iowa orthopaedic journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clohisy, John C</au><au>McClure, J Thomas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of anterior femoroacetabular impingement with combined hip arthroscopy and limited anterior decompression</atitle><jtitle>The Iowa orthopaedic journal</jtitle><addtitle>Iowa Orthop J</addtitle><date>2005</date><risdate>2005</risdate><volume>25</volume><spage>164</spage><epage>171</epage><pages>164-171</pages><issn>1541-5457</issn><eissn>1555-1377</eissn><abstract>Anterior femoroacetabular impingement results from abnormal abutment of the anterolateral femoral head-neck junction with the anterior acetabular-labral complex resulting in pain and progressive hip dysfunction. This under-recognized problem could be the manifestation of acetabular or proximal femoral deformity, and when left untreated leads to the development of osteoarthritis of the hip. Conservative treatment is usually unsuccessful and the optimal surgical treatment for these disorders needs to be determined. We present our technique for treating femoral (cam) impingement which combines hip arthroscopy and a limited open anterior head-neck osteoplasty as a less invasive and more conservative surgical approach, which still adequately addresses the anatomy and pathophysiology of this disease.</abstract><cop>United States</cop><pub>Dept. of Orthopaedics, The University of Iowa</pub><pmid>16089092</pmid><tpages>8</tpages></addata></record> |
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subjects | Acetabulum - diagnostic imaging Acetabulum - pathology Arthroscopy Debridement Femur - diagnostic imaging Femur - pathology Hip Joint Humans Joint Diseases - diagnostic imaging Joint Diseases - surgery Physical Examination Radiography Sports and Arthroscopy |
title | Treatment of anterior femoroacetabular impingement with combined hip arthroscopy and limited anterior decompression |
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