Arthroscopic management of pincer-type impingement.
Femoroacetabular impingement is a disorder associated with labrochondral injury and the development of osteoarthritis. Although femoroacetabular impingement is a 3-dimensional disorder with variable size and extent of impingement between individuals, there are 2 primary types of hip impingement: Cam-type and Pincer-type. Cam-type impingement is the result of asphericity of the femoral head-neck junction whereas Pincer-type impingement results from acetabular overcoverage. This paper will focus on Pincer-type pathology. The pathomechanics and most common subtypes of pincer impingement, typical patient presentation, radiographic and imaging findings, surgical indications, intraoperative findings, and specific arthroscopic surgical techniques will be described.
Larson
Christopher M
CM
Minnesota Orthopedic Sports Medicine Institute (MOSMI), Twin Cities Orthopedics, Eden Prairie, MN 55344, USA. christopher_larson@med.unc.edu
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods*; D002358:Cartilage, Articular / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D000075202:Contraindications; D005260:Female; D005270:Femur Head / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D025981:Hip Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D010808:Physical Examination / Q000379:methods; D011182:Postoperative Care; D011859:Radiography; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000379:methods; D016896:Treatment Outcome