Arthroscopic management of pincer-type impingement

Sports Med Arthrosc Rev. 2010 Jun;18(2):100-7. doi: 10.1097/JSA.0b013e3181dc652e.

Abstract

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.

Publication types

  • Review

MeSH terms

  • Acetabulum / diagnostic imaging
  • Acetabulum / injuries
  • Acetabulum / surgery*
  • Arthroscopy / methods*
  • Cartilage, Articular / diagnostic imaging
  • Cartilage, Articular / injuries
  • Cartilage, Articular / surgery*
  • Contraindications
  • Female
  • Femur Head / injuries
  • Femur Head / pathology
  • Femur Head / surgery*
  • Hip Injuries / diagnostic imaging
  • Hip Injuries / surgery*
  • Humans
  • Male
  • Orthopedic Procedures / methods
  • Physical Examination / methods
  • Plastic Surgery Procedures / methods
  • Postoperative Care
  • Radiography
  • Range of Motion, Articular
  • Treatment Outcome