Roxanne M. Chow, M.D., Aaron J. Krych, M.D., Bruce A. Levy, M.D.

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Arthroscopic Acetabular Rim Resection in the Treatment of Femoroacetabular Impingement Roxanne M. Chow, M.D., Aaron J. Krych, M.D., Bruce A. Levy, M.D. Arthroscopy Techniques Volume 2, Issue 4, Pages e327-e331 (November 2013) DOI: 10.1016/j.eats.2013.04.006 Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 1 Arthroscopic view of right acetabulum and labrum (asterisk) as viewed through anterolateral portal. The ArthroCare RF wand is being used through a mid-anterior portal to elevate the capsule (plus sign) to fully expose the pincer lesion. The pound sign indicates the femoral head. Arthroscopy Techniques 2013 2, e327-e331DOI: (10.1016/j.eats.2013.04.006) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 2 (A) Arthroscopic view of right acetabulum and labrum (asterisk) as viewed through anterolateral portal. The ArthroCare RF wand is being used through the mid-anterior portal to initiate detachment of the labrum at the chondrolabral junction. (B) A freer elevator can also be used to facilitate detachment of the labrum (asterisk). The plus sign indicates the acetabular rim, and the pound sign indicates the femoral head. Arthroscopy Techniques 2013 2, e327-e331DOI: (10.1016/j.eats.2013.04.006) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 3 Arthroscopic view of right acetabular rim (plus sign) as viewed through anterolateral portal. The burr is being used through the mid-anterior portal to resect the pincer lesion. The arrow points to a ledge of remaining bone and shows the depth of the bony resection. The asterisk indicates the labrum. Arthroscopy Techniques 2013 2, e327-e331DOI: (10.1016/j.eats.2013.04.006) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 4 Anteroposterior fluoroscopic images of right hip from before (A) and after (B) pincer resection, with resolution of crossover sign. Arthroscopy Techniques 2013 2, e327-e331DOI: (10.1016/j.eats.2013.04.006) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 5 Arthroscopic view of right acetabulum and labrum (asterisk) as viewed through anterolateral portal. The medium straight punch is being used through a mid-anterior portal to remove excess cartilage to achieve a stable bone-cartilage interface. The plus sign indicates the acetabular rim. Arthroscopy Techniques 2013 2, e327-e331DOI: (10.1016/j.eats.2013.04.006) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 6 Arthroscopic view of right acetabulum and labrum (asterisk) as viewed through anterolateral portal, showing completed pincer resection. The plus sign indicates the acetabular rim. Arthroscopy Techniques 2013 2, e327-e331DOI: (10.1016/j.eats.2013.04.006) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions