Femoral Retroversion in the Setting of Multiple Failed Hip Arthroscopies

Orthopaedic surgeon presents the case

A 21-year-old female athlete presented to Cleveland Clinic’s Center for Hip Preservation with persistent right hip and groin pain, as well as mechanical symptoms she had been experiencing since her last surgery about two years prior to this encounter.

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Atul Kamath, MD, director of the center, notes that imaging revealed normal morphology of the proximal femur and the acetabulum; however, the MRI slice showed a tear of the acetabular labrum. Advanced imaging studies show normal morphology and coverage of the femoral head by the acetabulum.

3D study images show intertrochanteric and subspine areas of femoral acetabular impingement. “Of key note on the 3D studies,” says Dr. Kamath “is the low femoral version 2.2 degrees, which is relative retroversion of the femur, when compared to normative female populations of this age.”

Her diagnosis? A labral tear, subspine and intertrochanteric impingement and femoral retroversion.

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Video case study

In this short video case study, Dr. Kamath discusses his decision to perform a revision hip arthroscopy, revision labral repair with subspine compression and a subtrochanteric derotational osteotomy.

Listen to the full details of the case, including postoperative outcomes and the patient’s full return to athletic activities.

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