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Case Reports
. 2021 Mar 3;11(1):e20.00347.
doi: 10.2106/JBJS.CC.20.00347.

Limitations of Postless Hip Arthroscopy for a Patient with Coxa Profunda: A Case Report

Wendy M Meek  1 , Paul F Abraham, Michael P Kucharik, Scott D Martin
Affiliations
Case Reports

Limitations of Postless Hip Arthroscopy for a Patient with Coxa Profunda: A Case Report

Wendy M Meek et al. JBJS Case Connect. .

Abstract

Case: A 27-year-old man with coxa profunda and a right acetabular labral tear presented for surgical re-evaluation after a postless arthroscopic labral repair was attempted at an outside institution and aborted because of inadequate distraction during portal placement. Arthroscopic labral repair with a perineal post was subsequently performed without complications.

Conclusion: Indications and limitations of postless hip distraction are seldom discussed in the literature. This report examines possible limitations of postless hip distraction for a patient with coxa profunda. Careful radiographic evaluation of hip anatomy may be essential for patients with deep hip sockets to determine the best-suited distraction technique.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B373).

Figures

Fig. 1-A
Fig. 1-A
Radiographic films revealed significant coxa profunda with a downward sloping sourcil (Tönnis angle [10.5] < 0).
Fig. 1-B
Fig. 1-B
In the anteroposterior and dunn lateral views, cam and pincer lesions are present.
Fig. 2
Fig. 2
An example of coxa profunda with a mild sloping sourcil (Tönnis angle [3.5] < 0).
Fig. 3
Fig. 3
An example of coxa profunda with a sourcil that extends to the femoral head-neck junction. Degenerative changes and os acetabuli are present. Arthroscopic surgery was not advised.
See this image and copyright information in PMC

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