History and Evaluation: An 18 year old male, division 1 baseball player presented with activity-related, left groin pain for one year. Patient initially thought pain was a quadriceps muscle strain but physical therapy and anti-inflammatory medicine did not improve symptoms.
Imaging showed significant cam and mild pincer impingement as well as a an acetabular labral tear.
Treatment: Hip arthroscopy was performed to stabilize the labrum, smooth the acetabular cartilage (chondroplasty), and trim the rim for pincer impingement. The cam impingement was then treated with arthroscopy of the peripheral compartment.
Outcomes: One year after surgery patient has returned to division 1 baseball and is pain free.