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    Posterior Femoral Cam Decompression Through an Arthroscopic Anterior Approach With Pre-Bent Hip Burrs

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    Author
    Ochiai, Derek
    Costales, Timothy
    Riley, Thomas
    Rosado, Michelle
    Adib, Farshad
    Date
    2020-11-16
    Journal
    Arthroscopy Techniques
    Publisher
    Elsevier Ltd.
    Type
    Article
    
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    Show full item record
    See at
    https://doi.org/10.1016/j.eats.2020.08.011
    Abstract
    Hip arthroscopy has been increasingly used to treat labral tears and cam and pincer lesions found in femoroacetabular impingement. Although the classic impingement with cam deformity at the proximal femoral anterolateral quadrant is most common, there has been evidence of cam impingement extension to the anteromedial and posterior quadrants of the proximal femur. Posterior cam decompression carries a theoretical risk of vascular insult and subsequent osteonecrosis, which have led investigators to approach these posterior lesions through an open surgical correction. Recent improvements have led to the development of pre-bent burs that allow for bonier resection flexibility. Here, we report on an arthroscopic posterior cam decompression using the traditional anterior portals and curved hip burs via a figure-of-four positioning technique.
    Keyword
    cam lesions
    cam decompression
    pre bent hip burrs
    Hip
    Arthroscopy
    Femoracetabular Impingement
    Femur Head
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/14161
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.eats.2020.08.011
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