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Review
. 2020 Aug 21;2(5):e655-e660.
doi: 10.1016/j.asmr.2020.06.001. eCollection 2020 Oct.

Is There a Role for Ultrasound in Hip Arthroscopy? A Systematic Review

Brady T Williams  1 , Amar Vadhera  1 , Bhargavi Maheshwer  1 , Evan M Polce  1 , Michael J Salata  2 , Richard C Mather 3rd  3 , Shane J Nho  1 , Jorge Chahla  1
Affiliations
Review

Is There a Role for Ultrasound in Hip Arthroscopy? A Systematic Review

Brady T Williams et al. Arthrosc Sports Med Rehabil. .

Abstract

Purpose: The purpose of this study is to identify and summarize the current utility of intraoperative ultrasound (US) during hip arthroscopy.

Methods: A systematic database query of the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, EMBASE, PubMed (1980 to 2019), and Ovid MEDLINE (1980 to 2019) was performed. After article identification, descriptions of the surgical procedure, use of intraoperative US, procedural complications, and conclusions from each article were recorded and summarized.

Results: Five studies met inclusion criteria, all of which were surgical techniques or technical notes. Four of the 5 studies described US used for placement of arthroscopic portals, and 1 described the use of an intraarticular US catheter for the assessment of an osteochondritis dissecans (OCD) lesion. Of the 4 studies using US for portal placement, 3 were performed supine and 1 was performed in the lateral decubitus position. All studies recognized the need for additional US training or the required assistance of a radiologist to incorporate US into a surgical practice.

Conclusion: Descriptions of intraoperative US during hip arthroscopy are limited in the literature. However, existing technique reports demonstrate the feasibility of US for both portal placement with superficial probes and limited evaluation of cartilage using intraarticular US catheters.

Level of evidence: V, systematic review.

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Figures

Figure
Figure
Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) flow chart of the study selection process.
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