Femoral osteochondroplasty for hip impingement

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