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. 2014 May 14;50(3):245-53.
doi: 10.1016/j.rboe.2014.04.024. eCollection 2015 May-Jun.

Hip arthroscopy

Henrique Antônio Berwanger de Amorim Cabrita  1 , Christiano Augusto de Castro Trindade  2 , Henrique Melo de Campos Gurgel  1 , Rafael Demura Leal  2 , Ricardo da Fonseca de Souza Marques  2
Affiliations

Hip arthroscopy

Henrique Antônio Berwanger de Amorim Cabrita et al. Rev Bras Ortop. .

Abstract
in English, Portuguese

Hip arthroscopy is a safe method for treating a variety of pathological conditions that were unknown until a decade ago. Femoroacetabular impingement is the commonest of these pathological conditions and the one with the best results when treated early on. The instruments and surgical technique for hip arthroscopy continue to evolve. New indications for hip arthroscopy has been studied as the ligamentum teres injuries, capsular repair in instabilities, dissection of the sciatic nerve and repair of gluteal muscles tears (injuries to the hip rotator cuff), although still with debatable reproducibility. The complication rate is low, and ever-better results with fewer complications should be expected with the progression of the learning curve.

A artroscopia de quadril é um método seguro para o tratamento de diversas patologias desconhecidas até a última década. O impacto femoroacetabular é a patologia mais comum e com melhores resultados quando tratada precocemente. O instrumental e a técnica cirúrgica da artroscopia de quadril continuam em evolução. Novas indicações de artroscopia de quadril vem sendo estudadas, como o tratamento das lesões do ligamento redondo, capsulorrafia nas instabilidades, dissecação do nervo ciático e reparo de lesões dos músculos glúteos (lesões do manguito rotador do quadril), porém ainda com reprodutibilidade discutível. A taxa de complicações é baixa e resultados cada vez melhores e com menor número de complicações devem ser esperados com a progressão da curva de aprendizado.

Keywords: Arthroscopy; Hip/pathology; Hip/surgery.

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Figures

Fig. 1
Fig. 1
Sequence of fluoroscopy images during hip arthroscopy: (1) joint under traction, with the presence of cam and pincer; (2) resection of the pincer; (3) osteochondroplasty of the femoral neck (cam); and (4) final appearance.
Fig. 2
Fig. 2
Image of endoscopic release of the sciatic nerve: (1) nerve (represented by*) with the piriform muscle, showing adherences and (2) final appearance of the procedure following tenotomy of the piriform muscle and neurolysis of the sciatic nerve.
See this image and copyright information in PMC

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