Abstract
Arthroscopy may be appropriately indicated for primary synovial disorders and sepsis in the hip. It is most commonly performed for synovial chondromatosis and pigmented villonodular synovitis. Synovectomy may also be performed in conjunction with crystalline deposition disorders. Rarely is synovectomy performed for inflammatory arthritides, such as rheumatoid disease, mostly because of the efficacy of pharmacological management. Thorough synovectomy requires arthroscopy of the central and peripheral compartments. This chapter details the technique of synovectomy and its role for primary synovial disorders and sepsis including illustrative examples and results.
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References
Godde S, Kusma M, Dienst M. Synovial disorders and loose bodies in the hip joint. Arthroscopic diagnostics and treatment. Orthopade. 2006;35(1):67–76.
Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop Relat Res. 2003;406:48–59.
Hajdu SI. Tumors of tendosynovial tissue. In: Hajdu SI, editor. Pathology of soft tissue tumors. Philadelphia: Lea & Febiger; 1979. p. 165–226.
McCarthy JC, Bono JV, Wardell S. Is there a treatment for synovial chondromatosis of the hip joint? Arthroscopy. 1997;13(3):409–10.
Villacin AB, Brigham LN, Bullough PG. Primary and secondary synovial chondrometaplasia. Hum Pathol. 1979;10(4):439–51.
Spjut JH, Dorfmann HD, Fechner RD, Ackerman LV, Firminger HI, editors. Tumors of bone and cartilage. In: Atlas of tumor pathology, second series. Washington, DC: Armed Forces Institute of Pathology; 1983. p. 391–410.
Milgram JW. Synovial osteochondromatosis. J Bone Joint Surg Br. 1977;59:792–801.
Boyer T, Dorfmann H. Arthroscopy in primary synovial chondromatosis of the hip: description and outcome of treatment. J Bone Joint Surg Br. 2008;90(3):314–8.
Enneking WF. Musculoskeletal tumor surgery. New York: Churchill Livingstone; 1983. p. 1167–74.
Danzig LA, Gershuni DH, Resnick D. Diagnosis and treatment of diffuse pigmented villonodular synovitis of the hip. Clin Orthop. 1982;168:42–77.
Shabat S, Kollender Y, Merimsky O. The use of surgery and yttrium 90 in the management of extensive and diffuse pigmented villonodular synovitis of large joints. Rheumatology. 2002;41:1113–8.
Zook JE, Wurtz DL, Cummings JE, et al. Intra-articular chromic phosphate (32P) in the treatment of diffuse pigmented villonodular synovitis. Brachytherapy. 2011;10(3):190–4.
Saxler G, Loer F, Skumavc M, et al. Localization of SP- and CGRP-immunopositive nerve fibers in the hip joint of patients with painful osteoarthritis and of patients with painless failed total hip arthroplasties. Eur J Pain: Ejp. 2007;11(1):67–74.
Byrd JWT. Indications and contraindications. In: Byrd JWT, editor. Operative hip arthroscopy. 2nd ed. New York: Springer; 2005. p. 6–35.
Rosenthal AK. Update in calcium deposition diseases. Curr Opin Rheumatol. 2007;19:158–62.
Fitzgerald BT, Setty A, Mudgal CS. Gout affecting the hand and wrist. J Am Acad Orthop Surg. 2007;15:625–35.
Parhami N, Feng H. Gout in the hip joint. Arthritis Rheum. 1993;36(7):1026.
Blitzer CM. Arthroscopic management of septic arthritis of the hip. Arthroscopy. 1993;9(4):414–6.
Chung WK, Slater GL, Bates EH. Treatment of septic arthritis of the hip by arthroscopic lavage. J Pediatr Orthop. 1993;13:444–6.
Yamamoto Y, Ide T, Hachisuka N, et al. Arthroscopic surgery for septic arthritis of the hip joint in 4 adults. Arthroscopy. 2001;17(3):290–7.
Kim SJ, Choi NH, Ko SH, et al. Arthroscopic treatment of septic arthritis of the hip. Clin Orthop Relat Res. 2003;407:211–4.
Nusem I, Jabur MK, Playford EG. Arthroscopic treatment of septic arthritis of the hip. Arthroscopy. 2006;22(8):902.e1–3.
El-Sayed AMM. Treatment of early septic arthritis of the hip in children: comparison of results of open arthrotomy versus arthroscopic drainage. J Child Orthop. 2008;2(3):229–37.
Hyman JL, Salvati EA, Laurencin CT, Rogers DE, et al. The arthroscopic drainage, irrigation, and debridement of late, acute total hip arthroplasty infections: average 6-year follow-up. J Arthroplasty. 1999;14(8):903–10.
McCarthy JC, Jibodh SR, Lee JA. The role of arthroscopy in evaluation of painful hip arthroplasty. Clin Orthop Relat Res. 2009;467(1):174–80.
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Byrd, J.W.T. (2013). Synovial Disease and Sepsis. In: Byrd, J. (eds) Operative Hip Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7925-4_16
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DOI: https://doi.org/10.1007/978-1-4419-7925-4_16
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