Editorial Commentary: Complete Cam Resection Results in Best Outcomes After Hip Arthroscopy for Femoroacetabular Impingement.

Abstract

An aspherical hip can mechanically damage the joint and lead to chondrolabral injury, functional pain, and potentially arthritis. Hip arthroscopy to address femoroacetabular impingement (FAI) and make the hip spherical, with treatment of concomitant labral pathology, can result in excellent outcomes in patients with this pathology. The goal is complete cam resection. Cam pathology comes in many shapes, locations, and sizes-from smaller, anterolaterally located lesions to larger, pistol group lesions that extend more superiorly and lateral. Surgically addressing the lateral cam lesion is more technically demanding, and such patients have greater chondolabral damage. Regardless, when the cam lesion is fully resected, we can expect to achieve good outcomes.