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Manipal Journal of Medical Sciences

Abstract

Injuries in sports persons and athletes have tremendous financial implications and can often be career-ending. The injuries to the hip in particular, have not been given due importance in the past probably because the diagnosis and treatment were either ambiguous or not well developed. But, with improvement in the radiological studies especially MR arthrogram and newer hip arthroscopic surgery techniques, both diagnosis and management of such injuries have improved leaps and bounds. Hip arthroscopy as a diagnostic and treatment modality has offered an excellent tool to treat such injuries in athletes. This case report of a 21-year-old athlete had symptoms of hip impingement (Femoro-Acetabular impingement). The physical examination revealed joint line tenderness and positive hip impingement tests. The hip X-rays and MRI scans also indicated femoro-acetabular impingement (FAI) of the hip with tear in the acetabular labrum. Hip arthroscopy was planned as non operative treatment was unsuccessful. The CAM (bony bump on the femoral head-neck junction) resection and acetabular trimming and labral repair was done. He returned to regular sports without any symptoms in the hip. Hence, Arthroscopic CAM resection with acetabular trimming and repair of the labrum is an effective treatment for symptomatic FAI, especially in sport spersons and athletes

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