Minimally invasive bone grafting of cysts of the femoral head and acetabulum in femoroacetabular impingement: arthroscopic technique and case presentation.
Femoroacetabular impingement (FAI) has been recently established as a risk factor in the development of osteoarthritis of the hip. Intraosseous cysts are commonly seen on imaging of FAI. In most cases these cysts are incidental and do not require specific treatment at the time of surgical treatment of hip impingement. However, in some cases the cysts may mechanically compromise the acetabular rim or femoral neck. We present a technique for treating such cysts with an all-arthroscopic technique using a commercially available bone graft substitute composed of cancellous bone and demineralized bone matrix placed within an arthroscopic cannula for direct delivery into the cysts. This technique may be of benefit to surgeons treating FAI with an all-arthroscopic technique.
Department of Orthopaedic Surgery, University of California, Davis, Sacramento, California 95817, USA. amir.jamali@ucdmc.ucdavis.edu
Amir A
AA
Jamali
Anto T
AT
Fritz
Deepak
D
Reddy
John P
JP
Meehan
D000077:Acetabulum / Q000000981:diagnostic imaging* / Q000601:surgery; D001182:Arthroscopy / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods*; D002358:Cartilage, Articular / Q000000981:diagnostic imaging / Q000601:surgery; D003560:Cysts / Q000000981:diagnostic imaging / Q000601:surgery; D005270:Femur Head / Q000000981:diagnostic imaging* / Q000601:surgery*; D005272:Femur Neck / Q000601:surgery; D006621:Hip Joint / Q000601:surgery; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010003:Osteoarthritis / Q000453:epidemiology; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D019534:Shoulder Impingement Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*