Endoscopic Shelf Procedure and Ischiofemoral Decompression with Arthroscopic Acetabular Labral Reconstruction: A Case Report
Authors: Maldonado DR, Owens JS, Jimenez AE, Saks BR, Lall AC, Domb BG
Background
A 43-year-old female presented with complex hip pathology including hip dysplasia, ischiofemoral impingement (IFI), cam-type femoroacetabular impingement (FAI), and labral tear. The report details a combined surgical approach incorporating arthroscopic labral reconstruction and cam correction, along with hip endoscopy for shelf procedure and ischiofemoral decompression.
Methods
The patient underwent hip arthroscopy addressing labral tear and cam morphology, alongside endoscopic shelf procedure and ischiofemoral decompression.
Key Findings
At one-year follow-up, the patient showed significant pain relief and improved hip function.
Conclusions
A combined approach using arthroscopy and hip endoscopy for complex hip pathologies including labral reconstruction, cam correction, shelf procedure, and IFI decompression appears safe and effective in this case.
What Does This Mean for Providers?
- Consider a multidisciplinary surgical approach for patients with complex, multifactorial hip pathology to address both intra- and extra-articular sources of symptoms.
- Hip endoscopy for shelf procedures and ischiofemoral decompression can be effectively combined with arthroscopic labral reconstruction and cam correction.
- Although promising, these findings are from a single case; further research is needed to establish broader efficacy and safety.