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Review
. 2017 Apr 27;2(3):58-65.
doi: 10.1302/2058-5241.2.150041. eCollection 2017 Mar.

The current situation in hip arthroscopy

Oliver Marin-Peña  1 , Marc Tey-Pons  2 , Luis Perez-Carro  3 , Hatem G Said  4 , Pablo Sierra  5 , Pedro Dantas  6 , Richard N Villar  7
Affiliations
Review

The current situation in hip arthroscopy

Oliver Marin-Peña et al. EFORT Open Rev. .

Abstract

Hip arthroscopy is an evolving surgical technique that has recently increased in popularity.Although femoroacetabular impingement was an important launch pad for this technique, extra-articular pathology has been described through hip endoscopy.Good clinical results in the medium term will allow improvements in this technique and increase its indications. Cite this article: EFORT Open Rev 2017;2:58-65. DOI: 10.1302/2058-5241.2.150041.

Keywords: femoro-acetabular impingement; hip arthroscopy; labrum.

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Conflict of interest statement

ICMJE Conflict of Interest Statement: OMP reports receiving personal fees from DePuy, Smith & Nephew and Sanofi and non-financial report from Arthrex outside of this work. PD reports receiving a grant from Smith & Nephew related to this paper. MTP reports that he is a consultant for Smith & Nephew. RNV reports receiving personal fees and non-financial support from Smith & Nephew outside of this work.

Figures

Fig. 1
Fig. 1
Arthroscopic portals (right hip). ASIS, antero superior iliac spine; GT, greater trochanter; A, anterior portal; AL, anterolateral portal; PL, posterolateral portal; DAL, distal anterolateral portal; PAL, proximal anterolateral portal.
Fig. 2
Fig. 2
Arthroscopic view from the anterolateral portal (right hip). a) Labrum, b) chondrolabral delamination, c) cotyloid fossa, d) femoral head.
Fig. 3
Fig. 3
Arthroscopic view from the anterolateral portal (right hip). a) ArthroMRI with a ‘herniation pit’ at the head-neck junction, b) arthroMRI with pathological alpha angle (60°), c) intra-operative view of the ‘herniation pit’ at the head-neck junction after resection of ‘cam’ deformity.
Fig. 4
Fig. 4
Three-dimensional CT reconstruction in sub-spine impingement: a) antero-inferior iliac spine (AIIS), b) femoral neck impingement area against AIIS.
Fig. 5
Fig. 5
Left hip arthroscopic view. Psoas impingement (circle in dotted line): a) femoral head, b) capsule-labral recess, c) psoas tendon.
Fig. 6
Fig. 6
Right hip (peritrochanteric endoscopic view). Gluteus medius (GM) tear (lower left corner image). Repair of GM with anchors to the greater trochanter (GT).
Fig. 7
Fig. 7
Right hip. Deep gluteal space (endoscopic view). a) Sciatic nerve close to the b) ischial tunnel.
See this image and copyright information in PMC

References

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