This 40 year old gentleman presented with pain in the left groin associated with occasional catching sensations which was limiting his activities. Investigations demonstrated classic features of femoro-acetabular impingement(FAI). The bump on the femoral neck can be clearly seen on the X-rays and CT scan. An MRI arthrogram showed evidencec of a labral tear. The patient underwent an ope hip debridement via a Ganz osteotomy. The neck bump was removed and the labral tear repaired with bone anchors. The patients symptoms resolved well following surgery.
Pre-operative X-ray (AP view)
Pre-operative X-ray (Lateral view)
Pre-operative 3D CT scan
Pre-operative MRI Arthrogram showing labral tear
Intra-operative photograph showing bump on femoral neck
Intra-operative photograph showing femoral head-neck junction after osteochondroplasty has been performed
Post-operative X-Ray showing anchors in acetabular rim and screws in trochnateric osteotomy
