Endoscopic Shelf Procedure and Ischiofemoral Decompression with Arthroscopic Acetabular Labral Reconstruction: A Case Report
Authors
Maldonado DR, Owens JS, Jimenez AE, Saks BR, Lall AC, Domb BG
Background
- A 43-year-old female patient experienced right hip pain, with diagnoses including hip dysplasia, ischiofemoral impingement (IFI), femoroacetabular impingement (FAI) cam-type morphology, and labral tear.
- This case report explores a combined approach involving hip arthroscopy for labral reconstruction, cam-morphology correction, and hip endoscopy for shelf procedure and ischiofemoral decompression.
Methods
- The patient underwent arthroscopic surgery with labral reconstruction and cam-morphology correction, alongside hip endoscopy for shelf procedure and ischiofemoral decompression.
Key Findings
- After one year of follow-up, the patient reported favorable outcomes, including pain relief and improved hip function.
Conclusions
- Combining hip arthroscopy for FAI cam-type morphology with labral reconstruction and concomitant hip endoscopy for shelf and ischiofemoral decompression appears to be a safe and effective treatment for patients with complex hip conditions.
What Does This Mean for Patients
- If you have multiple hip issues like labral tears, hip impingement, and hip instability, this approach could provide a promising solution. However, this is a single case, and more studies are needed.