000			02189nam a22003257a 4500
008			201229s20142014 xxu||||| |||| 00| 0 eng d
022			_a2212-6287
040			_aOvid MEDLINE(R)
099			_a25685678
245			_aManagement of a large acetabular chondrolabral injury in a young patient with femoroacetabular impingement.
251			_aArthroscopy Techniques. 3(6):e703-7, 2014 Dec.
252			_aArthrosc Tech. 3(6):e703-7, 2014 Dec.
253			_aArthroscopy techniques
260			_c2014
260			_fFY2015
265			_sepublish
266			_d2020-12-29
520			_aPatients with mixed-type femoroacetabular impingement syndrome often have concomitant chondrolabral pathology in addition to the characteristic cam and pincer lesions. Unfortunately, these patients are typically young, and the pathology is localized to the weight-bearing dome of the acetabulum. Complete preoperative characterization of labral and cartilage lesions is often not possible even with advanced imaging techniques, and the full extent of the injury may not be appreciated without direct arthroscopic visualization. Thus management decisions regarding intra-articular pathology may not be possible until the time of surgery. Often, the cartilage and labral pathology in these young patients is part of a contiguous complex of tissue that separates from the underlying subchondral bone. We present an arthroscopic management technique for young patients with this pattern of injury. This includes limited debridement of loose labral and chondral tissue, labral repair to restore the suction-seal effect, microfracture to promote reparative tissue formation, and takedown of the underlying pathoanatomic cam and pincer lesions.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Washington Hospital Center
656			_aOrthopedic Surgery
657			_aJournal Article
700			_aMarcel, John
700			_aPostma, William
700			_aSherman, Thomas I
790			_aMarcel JJ, Postma W, Sherman TI
856			_uhttps://dx.doi.org/10.1016/j.eats.2014.09.008 _zhttps://dx.doi.org/10.1016/j.eats.2014.09.008
942			_cART _dArticle
999			_c5761 _d5761