1 / 31

Frank R. Ebert, M.D. Union Memorial Hospital Baltimore, Maryland

Hip Arthroscopy. Frank R. Ebert, M.D. Union Memorial Hospital Baltimore, Maryland. Hip Arthroscopy. Burman JBJS 1931 First published report. Hip Arthroscopy. Level of Acceptance began in 1980’s. Hip Arthroscopy Pre-Op Evaluation. Mechanical Symptoms Catching / Locking

johana
Download Presentation

Frank R. Ebert, M.D. Union Memorial Hospital Baltimore, Maryland

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Hip Arthroscopy Frank R. Ebert, M.D. Union Memorial Hospital Baltimore, Maryland

  2. Hip Arthroscopy • Burman JBJS 1931 • First published report

  3. Hip Arthroscopy • Level of Acceptance began in 1980’s

  4. Hip ArthroscopyPre-Op Evaluation • Mechanical Symptoms • Catching / Locking • Pain with hip flexion and internal rotation • History of some torsional event about hip

  5. Hip ArthroscopyIndications • Avascular Necrosis • Osteo Arthritis • Septic Arthritis • Labral Injuries • Loose Bodies • Foreign Body Retrieval • Pediatric Disorders

  6. Hip Arthroscopy

  7. Hip ArthroscopyIndications

  8. Hip ArthroscopyIndications

  9. Hip ArthroscopyPre-Op Evaluation • Plain radiographs – AP pelvis / Lateral • MRI – gadolinium enhancement plus marcaine

  10. Hip ArthroscopyOperative Technique • Fracture Table / Hip Distractor

  11. Hip ArthroscopyOperative Technique • Position • Supine – Byrd-Arthroscopy 94 • Lateral – Glick-Arthroscopy 87

  12. Hip ArthroscopyOperative Technique • Portals • Lateral • Antero Lateral • Postero Lateral – not routinely used

  13. Hip ArthroscopyOperative Technique • Technique Supine Position • Foot traction • Well padded perineal post • Lateral distraction - Key

  14. Hip ArthroscopyOperative Technique

  15. Hip ArthroscopyOperative Technique

  16. Hip ArthroscopyOperative Technique • Lateral Portal – 6” 18 gauge spinal needle under fluroscopic guidance

  17. Hip ArthroscopyOperative Technique • Seldinger Technique – cannulated obturator and sleeves passed over a wire

  18. Hip ArthroscopyOperative Technique

  19. Hip ArthroscopyOperative Technique • Seldinger Technique – antero lateral portal • Line drawn at intersection of ASIS and trochanteric line • 45o cephalad and 30o toward the midline

  20. Hip ArthroscopyResults • Most common reason for arthroscopy • Labral Tear – 70 to 80 percent success rate

  21. Hip Arthroscopy

  22. Hip Arthroscopy

  23. Hip Arthroscopy

  24. Hip Arthroscopy

  25. Hip Arthroscopy

  26. Hip ArthroscopyComplications • Pudendal nerve neurapraxia • Lateral femoral cutaneous neurapraxia • Chondral scuffs from inadequate distration • Sciatic neurapraxia – avoid postero lateral portal

  27. Hip Arthroscopy

  28. Hip Arthroscopy

  29. Hip Arthroscopy

  30. Hip Arthroscopy

  31. Hip Arthroscopy Thank you

More Related