: Hip Central Acetabular Osteophyte Treatment Improves Outcome: Flip Your Arthroscope 90 (cid:1) and Look Down!

: Three goals are at the top of our minds when achieving optimal outcomes for the arthroscopic treatment of femoroacetabular impingement syndrome in the primary setting: (1) accurate bony correction, (2) labral function restoration d typically with labral repair d and (3) comprehensive capsular management d which involves capsular pres-ervation and closure. Notwithstanding, additional intra-articular concomitant conditions require our attention as well. Central acetabular impingement is characterized by the presence of central acetabular osteophytes at the cotyloid fossa. It has been proposed that central acetabular osteophytes lead to lateralization of the femoral head with relative femoroacetabular incongruency that increases contact force and mechanical cartilage abrasion.

[1]  Fan Yang,et al.  The Presence of Central Acetabular Osteophytes May Negatively Affect the Outcome After Primary Arthroscopic Therapy of Femoroacetabular Impingement Syndrome. , 2022, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[2]  David R. Maldonado,et al.  Restoration of Labral Function in Primary Hip Arthroscopy From Labral Repair to Labral Reconstruction. , 2021, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[3]  Andrew J. Curley,et al.  Routine Capsular Closure With Hip Arthroscopic Surgery Results in Superior Outcomes: A Systematic Review and Meta-analysis , 2021, The American journal of sports medicine.

[4]  E. Makhni,et al.  Approach to the Patient With Failed Hip Arthroscopy for Labral Tears and Femoroacetabular Impingement. , 2020, The Journal of the American Academy of Orthopaedic Surgeons.

[5]  David R. Maldonado,et al.  Indications and Outcomes of Secondary Hip Procedures After Failed Hip Arthroscopy. A Systematic Review. , 2020, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[6]  B. Domb,et al.  In Search of the Spherical Femoroplasty: Cam Overresection Leads to Inferior Functional Scores Before and After Revision Hip Arthroscopic Surgery , 2018, The American journal of sports medicine.

[7]  E. Mohammadi,et al.  Barriers and facilitators related to the implementation of a physiological track and trigger system: A systematic review of the qualitative evidence , 2017, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[8]  Sivashankar Chandrasekaran,et al.  Arthroscopic Central Acetabular Decompression: Clinical Outcomes at Minimum 2-Year Follow-up Using a Matched-Pair Analysis. , 2016, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[9]  B. Domb,et al.  Arthroscopic decompression of central acetabular impingement with notchplasty. , 2014, Arthroscopy techniques.

[10]  D Resnick,et al.  Patterns of central acetabular osteophytosis in osteoarthritis of the hip. , 1993, Investigative radiology.

[11]  Sivashankar Chandrasekaran,et al.  Central Acetabular Impingement Is Associated With Femoral Head and Ligamentum Teres Damage: A Cross-Sectional Matched-Pair Analysis of Patients Undergoing Hip Arthroscopy for Acetabular Labral Tears. , 2018, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[12]  Cara L Lewis,et al.  Acetabular labral tears. , 2006, Physical therapy.