To Trim or Not to Trim: Revisiting Acetabuloplasty During Hip Arthroscopy for Femoroacetabular Impingement and Acetabular Overcoverage

Sankar W, Nevitt M, Parvizi J, Felson D, Agricola R, Leunig M. Femoroacetabular impingement: defining the condition and its role in the pathophysiology of osteoarthritis - PubMed. J Am Acad Orthop Surg. 2013. https://doi.org/10.5435/JAAOS-21-07-S7.

Article  PubMed  Google Scholar 

Tagliero A, Foster M, Melugin H, Su C. Inflammatory and immunologic contributions in femoroacetabular impingement syndrome. J Am Acad Orthop Surg. 2023. https://doi.org/10.5435/JAAOS-D-22-01166.

Article  PubMed  Google Scholar 

Ruzbarsky J, Shelton T, Matta J, Philippon M. Surgical treatment of acetabular dysplasia with labral tears. Arthroscopy. 2022. https://doi.org/10.1016/j.arthro.2022.03.010.

Article  PubMed  Google Scholar 

Wylie J, Kim Y. The natural history of femoroacetabular impingement. J Pediatr Orthop. 2019. https://doi.org/10.1097/BPO.0000000000001385.

Article  PubMed  Google Scholar 

Nepple J. Editorial commentary: At the intersection of borderline dysplasia and femoroacetabular impingement—which way should we turn? Arthroscopy. 2020. https://doi.org/10.1016/j.arthro.2020.01.023.

Article  PubMed  Google Scholar 

Brick C, Bacon C, Brick M. Importance of retaining sufficient acetabular depth: successful 2-year outcomes of hip arthroscopy for patients with pincer morphology as compared with matched controls - PubMed. Am J Sports Med. 2020. https://doi.org/10.1177/0363546520937301.

Article  PubMed  Google Scholar 

Hartwell M, Morgan A, Nelson P, Fernandez C, Nicolay R, Sheth U, et al. Isolated acetabuloplasty for femoroacetabular impingement: favorable patient‐reported outcomes and sustained survivorship at minimum 5‐year follow‐up. Arthroscopy. 2021. https://doi.org/10.1016/j.arthro.2021.03.080.

Article  PubMed  Google Scholar 

White B, Spears H, McKaughan Q, Constantinides S. Treatment of severe pincer‐type femoroacetabular impingement with arthroscopic significant acetabular rim correction and circumferential labral reconstruction improves patient‐reported outcome measures. Arthroscopy. 2023. https://doi.org/10.1016/j.arthro.2022.05.014.

Larson C, Moreau-Gaudry A, Kelly B, Byrd J, Tonetti J, Lavallee S, et al. Are normal hips being labeled as pathologic? A CT-based method for defining normal acetabular coverage. Clin Orthop Relat Res. 2015. https://doi.org/10.1007/s11999-014-4055-2.

Article  PubMed  PubMed Central  Google Scholar 

Colvin A, Koehler S, Bird J. Can the change in center-edge angle during pincer trimming be reliably predicted? Clin Orthop Relat Res. 2011. https://doi.org/10.1007/s11999-010-1581-4.

Article  PubMed  PubMed Central  Google Scholar 

Zurmühle C, Anwander H, Albers C, Hanke M, Steppacher S, Siebenrock K, et al. Periacetabular osteotomy provides higher survivorship than rim trimming for acetabular retroversion. Clin Orthop Relat Res. 2017. https://doi.org/10.1007/s11999-016-5177-5.

Article  PubMed  PubMed Central  Google Scholar 

Cohen D, Khan A, Kay J, Slawaska-Eng D, Almasri M, Simunovic N, et al. There is no definite consensus on the adequate radiographic correction in arthroscopic osteochondroplasty for femoroacetabular impingement: a systematic review and meta‐analysis. Knee Surg Sports Traumatol Arthrosc. 2021. https://doi.org/10.1007/s00167-021-06645-1.

Article  PubMed  Google Scholar 

Johannsen A, Ruzbarsky J, Pierpoint L, Soares R, Briggs K, Philippon M. No correlation between depth of acetabuloplasty or postoperative lateral center-edge angle on midterm outcomes of hip arthroscopy with acetabuloplasty and labral repair. Am J Sports Med. 2021. https://doi.org/10.1177/0363546520972998.

Article  PubMed  Google Scholar 

Bhatia S, Lee S, Shewman E, Mather R, Salata M, Bush-Joseph C, et al. Effects of acetabular rim trimming on hip joint contact pressures: how much is too much? Am J Sports Med. 2015. https://doi.org/10.1177/0363546515590400.

Article  PubMed  Google Scholar 

Sheean A, Barrow A, Burns T, Schmitz M. Iatrogenic hip instability treated with periacetabular osteotomy - PubMed. J Am Acad Orthop Surg. 2017. https://doi.org/10.5435/JAAOS-D-16-00231.

Article  PubMed  Google Scholar 

Agricola R, Heijboer M, Roze R, Reijman M, Bierma-Zeinstra S, Verhaar J, et al. Pincer deformity does not lead to osteoarthritis of the hip whereas acetabular dysplasia does: acetabular coverage and development of osteoarthritis in a nationwide prospective cohort study (CHECK). Osteoarthritis Cartilage. 2013. https://doi.org/10.1016/j.joca.2013.07.004.

Article  PubMed  Google Scholar 

Tachibana T, Katagiri H, Matsuda J, Ozeki N, Watanabe T, Sekiya I, et al. Biomechanical analysis of load distribution in porcine hip joints at different acetabular coverages. BMC Musculoskelet Disord. 2024. https://doi.org/10.1186/s12891-024-07701-w.

Article  PubMed  PubMed Central  Google Scholar 

Weinberg D, Williamson D, Millis M, Liu R. Decreased and increased relative acetabular volume predict the development of osteoarthritis of the hip: an osteological review of 1090 hips - PubMed. Bone Joint J. 2017. https://doi.org/10.1302/0301-620X.99B4.BJJ-2016-0177.R2.

Article  PubMed  Google Scholar 

Agricola R, Heijboer M, Roze R, Reijman M, Bierma-Zeinstra S, Verhaar J, et al. Pincer deformity does not lead to osteoarthritis of the hip whereas acetabular dysplasia does: acetabular coverage and development of osteoarthritis in a nationwide prospective cohort study (CHECK). Osteoarthritis Cartilage. 2013. https://doi.org/10.1016/j.joca.2013.07.004.

Article  PubMed  Google Scholar 

Maldonado D, Diulus S, Shapira J, Rosinsky P, Kyin C, Ankem H, et al. Hip arthroscopic surgery in the context of femoroacetabular impingement syndrome, labral tear, and acetabular overcoverage: minimum 5-year outcomes with a subanalysis against patients without overcoverage. Am J Sports Med. 2021. https://doi.org/10.1177/0363546520969985.

Article  PubMed  Google Scholar 

Anderson S, Siebenrock K, Tannast M. Femoroacetabular impingement - PubMed. Eur J Radiol. 2012. https://doi.org/10.1016/j.ejrad.2011.03.097.

Article  PubMed  Google Scholar 

Anderson L, Kapron A, Aoki S, Peters C. Coxa profunda: is the deep acetabulum overcovered? - PubMed. Clin Orthop Relat Res. 2012. https://doi.org/10.1007/s11999-012-2509-y.

Article  PubMed  PubMed Central  Google Scholar 

Gosnell G, Berzolla E, Mercer N, Lezak B, Morgan A, Youm T. Patients with global acetabular overcoverage have inferior outcomes at 10 years after hip arthroscopy for femoroacetabular impingement syndrome. Am J Sports Med. 2025. https://doi.org/10.1177/03635465251387112.

Article  PubMed  Google Scholar 

Lee J, Gillinov S, Siddiq B, Dowley K, Dean M, Cherian N, et al. Association between global overcoverage and long-term survivorship, chondrolabral junction breakdown, and reduced joint space width: minimum 8-year follow-up. Am J Sports Med. 2025. https://doi.org/10.1177/03635465251317738.

Article  PubMed  PubMed Central  Google Scholar 

Kalberer F, Sierra R, Madan S, Ganz R, Leunig M. Ischial spine projection into the pelvis: a new sign for acetabular retroversion. Clin Orthop Relat Res. 2008. https://doi.org/10.1007/s11999-007-0058-6.

Article  PubMed  PubMed Central  Google Scholar 

Hansen B, Harris M, Anderson L, Peters C, Weiss J, Anderson A. Correlation between radiographic measures of acetabular morphology with 3D femoral head coverage in patients with acetabular retroversion. Acta Orthop. 2012. https://doi.org/10.3109/17453674.2012.684138.

Article  PubMed  PubMed Central  Google Scholar 

Tannast M, Hanke M, Zheng G, Steppacher S, Siebenrock K. What are the radiographic reference values for acetabular under- and overcoverage? Clin Orthop Relat Res. 2015. https://doi.org/10.1007/s11999-014-4038-3.

Article  PubMed  PubMed Central  Google Scholar 

Fritz B. Editorial commentary: is the lateral center-edge angle sufficient for the approximation of acetabular coverage? - PubMed. Arthroscopy. 2019. https://doi.org/10.1016/j.arthro.2019.05.015.

Article  PubMed  Google Scholar 

Kutty S, Schneider P, Faris P, Kiefer G, Frizzell B, Park R, et al. Reliability and predictability of the centre-edge angle in the assessment of pincer femoroacetabular impingement. Int Orthop. 2012. https://doi.org/10.1007/s00264-011-1302-y.

Article  PubMed  Google Scholar 

Wiberg G. Studies on dysplastic acetabula and congenital subluxation of the hip joint with special reference to the complication of osteo-arthritis. J Am Med Assoc. 1940. https://doi.org/10.1001/jama.1940.02810270083038.

Article  Google Scholar 

Ogata S, Moriya H, Tsuchiya K, Akita T, Kamegaya M, Someya M. Acetabular cover in congenital dislocation of the hip - PubMed. J Bone Joint Surg Br Vol. 1990. https://doi.org/10.1302/0301-620X.72B2.2312554.

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