Abstract
This technical note describes a new method that allows access to the central compartment
of the hip under arthroscopic control via the peripheral compartment with less risk
of labral perforation and/or cartilage scuffing. After placement of the anterolateral
portal in the peripheral compartment without traction, the anterior head area with
the anterior acetabular labrum and the anterior surface of the femoral head are inspected.
Under arthroscopic control, a guidewire is introduced through the anterior portal
in between the anterior labrum and anterior femoral head cartilage and into the central
compartment. The arthroscope is then removed from the anterolateral portal, the hip
distracted, and the arthroscope introduced via cannulated instruments over the guidewire
into the central compartment. Further portal placement can be controlled arthroscopically.
Key Words
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References
- Hüftarthroskopie—Minimal-invasive Diagnostik und Therapie des erkrankten oder verletzten Hüftgelenks.Unfallchirurg. 2001; 104: 2-18
- Avoiding the labrum in hip arthroscopy.Arthroscopy. 2000; 16: 770-773
- Arthroscopy of the hip.Arthroscopy. 1999; 15: 67-72
- Hip arthroscopy without traction.Arthroscopy. 2001; 17: 924-931
- Diagnostic arthroscopy of the hip joint.Orthop Traumatol. 2002; 10: 1-14
- Hip arthroscopy—Technique and anatomy.Oper Tech Sports Med. 2005; 13: 13-23
- Hip arthroscopy.Arthroscopy. 1995; 11: 418-423
- An aiming guide for anterior portal placement in hip arthroscopy.Arthroscopy. 2003; 19 (available online at www.arthroscopyjournal.org): E77
Article info
Identification
Copyright
© 2005 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.