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labrum (L) is resected back to a stable level. Before completing the excision, a probe is used (as shown) to test the stability of the remaining labral tissue. The free edge, where shaving will resume, is in the 10 o'clock position. Both views are from the anterolateral portal. H, head.

FIGURE 14.15. (A) Frayed labral tissue and early degenerative cartilage changes. At arthroscopy, the patient was found to have fraying of the labrum (L) and early degenerative changes of the acetabulum and the femoral head (H). Arthroscopic resection of the labral tear is shown. Chondromalacia (C) of the acetabulum is noted at the 3 o'clock position. (B) Grade 2 and 3 chondromalacia of the femoral head. Moderate degenerative changes including this area of chondromalacia were noted on the femoral head. These were addressed by gentle abrasion chondroplasty with an arthroscopic shaver. Despite kissing-type chondral injury, the patient has returned to full activity and no longer requires pain medication. Both views are from the anterolateral portal.

FIGURE 14.15. (A) Frayed labral tissue and early degenerative cartilage changes. At arthroscopy, the patient was found to have fraying of the labrum (L) and early degenerative changes of the acetabulum and the femoral head (H). Arthroscopic resection of the labral tear is shown. Chondromalacia (C) of the acetabulum is noted at the 3 o'clock position. (B) Grade 2 and 3 chondromalacia of the femoral head. Moderate degenerative changes including this area of chondromalacia were noted on the femoral head. These were addressed by gentle abrasion chondroplasty with an arthroscopic shaver. Despite kissing-type chondral injury, the patient has returned to full activity and no longer requires pain medication. Both views are from the anterolateral portal.

(Figure 14.18).47 The results of this procedure were encouraging, with the patient remaining well at 4 years follow-up.

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