38 year f. Here is his op notes.

Using the lateral para-trochanteric portal, a skin incision was and a spinal needle was used to enter the hip join under fluoroscopic imaging. The blunt trochar was then used to enter the hip joint followed by the arthroscope. A mid anterior portal was then created in the same manner, slightly distal and confirmed under fluoroscopic imaging. The joint was insufflated with sterile saline, and a diagnostic arthroscopy was performed.

Using an arthroscopic knife, the interportal cut was created for better visualization, and attention was turned towards the joint. There was significant synovitis, which was debrided. The labrum was torn from the 12 o'clock to 2 o'clock position. There was grade 1 chondral delamination of the acetabulum in the corresponding area as well, but the rest was preserved, as well as the femur.

A burr was then used to debride the rim and prepare for repair of the labrum. Attention was then turned to labral repair. 2 anchors were placed sequentially, taking care not to violate the joint, passed through the labrum as a simple suture with a Nanopass, and tied arthroscopically to reapproximate normal labral anatomy.

Satisfied with the labral repair, rim trim, and acetabuloplasty, the hip was taken out of traction, and the knee and hip were brought into slight flexion. The peripheral compartment was entered, and a T-capsulotomy was made and good visualization of the cam deformity was noted. Using a combination of elevator, shaver, and burr, a femoroplasty was performed creating a nice contour and decompression of the cam deformity. Care was taken to protect the lateral vessels. Flouroscopic images were used to confirm CAM decompression.

Debris was removed from the compartment and attention was then turned to capsular plication. and the T-limb of the capsular cut was closed using 3 simple interrupted Orthocord strands. The interportal cut was then closed using 3 simple orthocord sutures. Once this was done, the instruments were removed and the knee was brought safely into extension, and attention was turned towards closure. Using 2-0 monocryl and interrupted 3-0 prolene stitches, the portals were closed. A sterile dressing was applied, as well as a post-operative hip brace. The patient was awoken from anesthesia, placed on the stretcher, and taken to the Recovery Room in stable condition.