title: Surgical treatment of femoroacetabular impingement: what are the limits of hip arthroscopy?
abstract: The variety of hip pathology that can be addressed in a minimally invasive fashion in the young, pre-arthritic patient has rapidly grown in parallel with technical advances in hip arthroscopy. However, the indications and limits of arthroscopy must be carefully defined and indications must evolve correspondingly to avoid an increase in failure rates and unsatisfactory clinical outcomes. Some diagnoses may be better and more comprehensively addressed with open procedures or combined surgical approaches. The purpose of this article is to provide an unbiased and evidence-based review of conditions of the pre-arthritic hip to define our current understanding of the advantages, disadvantages, and limitations of an arthroscopic approach.
authors.affiliation: Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, Michigan, U.S.A.
authors.forename: Ira
authors.initials: I
authors.lastname: Zaltz
authors.affiliation: Center for Hip Preservation, Hospital for Special Surgery, New York, New York, U.S.A.
authors.forename: Bryan T
authors.initials: BT
authors.lastname: Kelly
authors.affiliation: Minnesota Orthopedic Sports Medicine Institute, Edina, Minnesota, U.S.A.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Larson
authors.affiliation: Department of Orthopedics, Schulthess Clinic, Zurich, Switzerland.
authors.forename: Michael
authors.initials: M
authors.lastname: Leunig
authors.affiliation: Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan, U.S.A.. Electronic address: abedi@med.umich.edu.
authors.forename: Asheesh
authors.initials: A
authors.lastname: Bedi
mesh_terms: D000293:Adolescent; D001182:Arthroscopy / Q000379:methods*; D002908:Chronic Disease; D019317:Evidence-Based Medicine; D005260:Female; D057925:Femoracetabular Impingement / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006621:Hip Joint / Q000601:surgery; D006801:Humans; D008297:Male; D010388:Pelvis / Q000000981:diagnostic imaging; D011859:Radiography; D060048:Slipped Capital Femoral Epiphyses / Q000150:complications / Q000601:surgery