A 33-year-old female recreational runner underwent hip arthroscopy for cam FAI. Diagnostic arthroscopic evaluation of the central compartment revealed an anterior labral tear at the 1-2 o'clock position. Labral repair was performed utilizing two 2.3-mm suture anchors (Osteoraptor, Smith and Nephew, Andover, MA, USA) placed via the mid-anterior portal. After placement of the suture anchors, inspection of the acetabular cartilage revealed focal ballooning of the articular chondral surface adjacent to the labral repair (Fig. 1). Post-operative rehabilitation was uneventful with protective weightbearing for 2 weeks. She returned to normal activities after 6 months without symptoms. Two-year follow-up revealed improvement of modified Harris Hip Score Hip (mHHS) (from 67 to 96), Hip Outcome Score Daily Activity Part 1 (from 88 to 100) and Sport Specific Part 2 (from 33 to 86) and post-operative radiographs revealed joint space preservation (Fig. 2).