DOI: 10.2106/JBJS.H.00066
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PMID: 19797584
Issn Print: 0021-9355
Publication Date: 2009/10/01
Staged Surgical Dislocation and Redirectional Periacetabular Osteotomy: A Report of Five Cases
Lucas A. Anderson; Carmen D. Crofoot; Jill A. Erickson; Christopher L. Peters
+ Author Information
Author Information: Department of Orthopaedic Surgery, University of Utah School of Medicine, 590 Wakara Way, Salt Lake City, UT 84108. E-mail address for C.L. Peters:
Excerpt
A wide spectrum of morphologic abnormalities of both the acetabulum and the proximal part of the femur can lead to hip pain in the young adult1-3. These developmental, or occasionally acquired, abnormalities may present clinically with symptoms and signs of both hip instability and femoroacetabular impingement1,4,5. Also, it is now recognized that a classically dysplastic or unstable hip may begin to manifest impingement as a result of an iatrogenic cause. For example, periacetabular osteotomy6 performed to improve coverage of the femoral head can lead to relative acetabular overcoverage and resultant femoroacetabular impingement2,7. Alternatively, a hip that is being treated for impingement can become unstable as a result of the performance of an acetabular rim resection and a femoral head osteochondroplasty8,9. Finally, hips that have a combination of impingement and instability may require acetabular reorientation to treat the underlying intra-articular pathology10.
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