History and Evaluation: This patient presented with residual right hip pain after SCFE pinning at age 12. Pain began approximately 9 years after surgery and is greatest with activity and sitting. Imaging studies showed a residual mild SCFE deformity consistent with hip impingement. The impingement bump is demonstrated on the preoperative x rays (arrow).
Treatment: Patient was treated with hip arthroscopy. A femoral head/neck osteochondroplasty to remove impingement bump and labral refixation were performed.
Outcome: 2 years after surgery patient is pain free, very active and has returned to recreational running.