Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Dec 8;3(1):e27-30.
doi: 10.1016/j.eats.2013.08.006. eCollection 2014 Feb.

Arthroscopic capsular repair in the treatment of femoroacetabular impingement

Roxanne M Chow  1 , William M Engasser  1 , Aaron J Krych  1 , Bruce A Levy  1
Affiliations

Arthroscopic capsular repair in the treatment of femoroacetabular impingement

Roxanne M Chow et al. Arthrosc Tech. .

Abstract

The role of capsular repair in the arthroscopic treatment of femoroacetabular impingement remains poorly defined. Some surgeons rarely repair the capsule, whereas others perform repairs routinely. There is little direct clinical evidence to guide surgeon decision making. When capsular repairs are performed, the procedure requires adequate visualization and careful suture placement either to re-establish the patient's normal capsular volume or to plicate a redundant capsule in a hip with hyperlaxity preoperatively. We present our preferred technique for arthroscopic capsular repair.

PubMed Disclaimer

Figures

Fig 1
Fig 1
(A) Arthroscopic view of right hip through anterolateral portal. The ArthroCare wand is being used superficial to the capsule to increase visualization. (Asterisk, distal capsule; plus sign, proximal capsule.)
Fig 2
Fig 2
Arthroscopic view of right hip through anterolateral portal. (A) A Crescent SutureLasso loaded with No. 2 FiberStick is being passed through the distal capsular tissue for repair of the interportal capsulotomy. (B) A large-bore spinal needle has been passed percutaneously into the hip and will pierce the proximal capsule directly across from the FiberStick suture already placed in the distal capsule. (C) A nitinol wire loop is advanced through the spinal needle. (D) The wire loop is used to shuttle the FiberStick suture through the proximal capsule. (Asterisk, distal capsule; plus sign, proximal capsule.)
Fig 3
Fig 3
Arthroscopic view of right hip through anterolateral portal. One stitch has been completed in the capsule. A total of 2 to 4 stitches are placed in the interportal portion of the capsulotomy. (Asterisk, distal capsule; plus sign, proximal capsule.)
See this image and copyright information in PMC

References

    1. Harris J.D., Slikker W., Gupta A.K., McCormick F.M., Nho S.J. Routine complete capsular closure during hip arthroscopy. Arthrosc Tech. 2013;2:e89–e94. - PMC - PubMed
    1. Myers C.A., Register B.C., Lertwanich P. Role of the acetabular labrum and the iliofemoral ligament in hip stability: An in vitro biplane fluoroscopy study. Am J Sports Med. 2011;39(suppl):85S–91S. - PubMed
    1. Domb B.G., Philippon M.J., Giordano B.D. Arthroscopic capsulotomy, capsular repair, and capsular plication of the hip: Relation to atraumatic instability. Arthroscopy. 2013;29:162–173. - PubMed
    1. Ranawat A.S., McClincy M., Sekiya J.K. Anterior dislocation of the hip after arthroscopy in a patient with capsular laxity of the hip: A case report. J Bone Joint Surg Am. 2009;91:192–197. - PubMed
    1. Matsuda D.K. Acute iatrogenic dislocation following hip impingement arthroscopic surgery. Arthroscopy. 2009;25:400–405. - PubMed

LinkOut - more resources