Endoscopic Shelf Procedure and Ischiofemoral Decompression with Arthroscopic Acetabular Labral Reconstruction: A Case Report

JBJS Case Connect. 2021 Nov 11;11(4). doi: 10.2106/JBJS.CC.21.00329.

Abstract

Case: A 43-year-old female patient complained of pain in the right hip. The diagnoses of hip dysplasia, ischiofemoral impingement (IFI), femoroacetabular (FAI) cam-type morphology, and labral tear were made. The patient underwent hip arthroscopy with labral reconstruction for an irreparable labral tear and cam-morphology correction, and hip endoscopy for shelf procedure and ischiofemoral decompression. Favorable outcomes were reported at 1-year follow-up.

Conclusion: Hip arthroscopy for FAI cam-type morphology with labral reconstruction and concomitant hip endoscopy for shelf and ischiofemoral decompression seem to be safe for the treatment of active young adult patients with FAI cam-type morphology, irreparable labral tear, dysplasia, and IFI diagnoses. Nevertheless, the results presented should not be extrapolated as this is a case report.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arthroscopy / methods
  • Decompression
  • Female
  • Femoracetabular Impingement* / surgery
  • Hip Joint / surgery
  • Humans
  • Treatment Outcome
  • Young Adult