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. 2014 Dec 8;3(6):e709-12.
doi: 10.1016/j.eats.2014.09.012. eCollection 2014 Dec.

Hip Arthroscopy for Synovial Chondromatosis: Tips and Tricks

Ehud Rath  1 , Eyal Amar  1 , Ran Doron  1 , Dean K Matsuda  2
Affiliations

Hip Arthroscopy for Synovial Chondromatosis: Tips and Tricks

Ehud Rath et al. Arthrosc Tech. .

Abstract

Hip arthroscopy is an important diagnostic and therapeutic tool in the management of synovial chondromatosis. Removal of osteochondral fragments (OCFs) from the central and peripheral compartments is crucial for the relief of mechanical symptoms and subsequent joint destruction. Direct access to the central compartment is often limited because of the ball-and-socket morphology and limitation of traction. We present our surgical technique for removing OCFs and a new method for the removal of a large loose body using a nitinol stone retrieval basket. The technique facilitates removal of difficult-to-access fragments from the central compartment. Moreover, this technique allows removal of far-medial OCFs from the peripheral compartment.

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Figures

Fig 1
Fig 1
Outer sleeve of the 5.5-mm burr facilitating evacuation of multiple free bodies narrower than 5 mm (A) from the central compartment through the anterolateral portal and (B) from the peripheral compartment through the modified anterior portal. (C, capsule; FB, free body.)
Fig 2
Fig 2
A cannula can facilitate removal of free bodies smaller than 5 mm. (A) A 5.5-mm cannula (a); the outer sleeve of a 5.5-mm-long abrader burr (b); and a changing rod inserted into a suction tube, which allows the tip of the soft tube to be directed to the desired intra-articular location (c). (B) Multiple free bodies smaller than 5 mm removed by cannulas.
Fig 3
Fig 3
The nitinol stone retrieval basket securely snares the loose body.
See this image and copyright information in PMC

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