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http://www.nsmoc.com/ In this right hip, probing from the anterior portal the Pincer lesion is obscured by the capsule. With the capsule removed, the extent of Pincer impingement with a separate os acetabulum is identified. An elevator is used to identify a fragment, which can then be removed in one piece. The high-speed burr is used to re-contour the rim of the acetabulum correcting the Pincer lesion. Inspection of the labrum reveals good quality substance to the tissue that has been preserved. A thermal device on a low temperature setting is used to stabilize capsular edge of the labrum. The labral tissue is stable and has been preserved without necessitating refixation. Articular delamination indicates contributions of a CAM lesion, the condral damage has been conservatively smoothed. Moving angles, the CAM lesion is identified. At completion, both femoralplasty and acetabuloplasty have been completed sparing the labrum without necessitating refixation.