Abstract
Recently, the field and awareness of hip arthroscopy have significantly expanded amongst surgeons managing hip disorders. Pathologies arising from the intra-articular space of the hip joint, also referred to as the central compartment of the hip, remain the primary indications for this procedure. This chapter will focus on issues relevant to the arthroscopic access to the central compartment. These issues include the unique characteristics of the hip joint and surrounding tissues, relevant anatomical structures, the introduction of the standard portals used, their establishment and utilization, safety concerns and risks, the process of proper patient selection, and preoperative planning. This chapter provides the necessary base of knowledge needed prior to performing this procedure.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Burman M. Arthroscopy or the direct visualization of joints. J Bone Joint Surg. 1931;4:669–95.
Voos JE, Rudzki JR, Shindle MK, Martin H, Kelly BT. Arthroscopic anatomy and surgical techniques for peritrochanteric space disorders in the hip. Arthroscopy. 2007;23:1246e1–1246e5.
Dienst M, Godde S, Seil R, Hammer D, Kohn D. Hip arthroscopy without traction: in vivo anatomy of the peripheral hip joint cavity. Arthroscopy. 2001;17:924–31.
Byrd JW. Hip arthroscopy by the supine approach. Instr Course Lect. 2006;55:325.
Glick JM. Hip arthroscopy by the lateral approach. Instr Course Lect. 2006;55:317–23.
Lynch TS, Terry MA, Bedi A, Kelly BT. Hip arthroscopic surgery: patient evaluation, current indications, and outcomes. Am J Sports Med. 2013;41(5):1174–89.
Moss SG, Schweitzer ME, Jacobson JA, Brossmann J, Lombardi JV, Dellose SM, Coralnick JR, Standiford KN, Resnick D. Hip joint fluid: detection and distribution at MR imaging and US with cadaveric correlation. Radiology. 1998;208(1):43–8.
Dienst M, Seil R, Kohn DM. Safe arthroscopic access to the central compartment of the hip. Arthroscopy. 2005;21(12):1510–4.
Dorfmann H, Boyer T. Arthroscopy of the hip: 12 years of experience. Arthroscopy. 1999;15(1):67–72.
Byrd JW. Avoiding the labrum in hip arthroscopy. Arthroscopy. 2000;16(7):770–3.
Robertson WJ, Kelly BT. The safe zone for hip arthroscopy: a cadaveric assessment of central, peripheral, and lateral compartment portal placement. Arthroscopy. 2008;24(9):1019–26.
Byrd JW, Pappas JN, Pedley MJ. Hip arthroscopy: an anatomic study of portal placement and relationship to the extra-articular structures. Arthroscopy. 1995;11:418–23.
Badylak JS, Keene JS. Do iatrogenic punctures of the labrum affect the clinical results of hip arthroscopy? Arthroscopy. 2011;27(6):761–7.
Aoki SK, Beckmann JT, Wylie JD. Hip arthroscopy and the anterolateral portal: avoiding labral penetration and femoral articular injuries. Arthrosc Tech. 2012;1(2):e155–60.
Byrd JWT. Complications associated with hip arthroscopy. In: Byrd JWT, editor. Operative hip arthroscopy. New York: Thieme; 1998. p. 171–9.
Byrd JWT, Jones KS. Hip arthroscopy for labral pathology: prospective analysis with 10-year follow-up. Arthroscopy. 2009;25:365–8.
Byrd JW. Hip arthroscopy. J Am Acad Orthop Surg. 2006;14(7):433–44.
Bond JL, Knutson ZA, Ebert A, Guanche CA. The 23-point arthroscopic examination of the hip: basic setup, portal placement, and surgical technique. Arthroscopy. 2009;25(4):416–29.
Grothaus MC, Holt M, Mekhail AO, Ebraheim NA, Yeasting RA. Lateral femoral cutaneous nerve: an anatomic study. Clin Orthop Relat Res. 2005;437:164–8.
Sussmann P, Zumstein M, Hahn F, Dora C. The risk of vascular injury to the femoral head when using the posterolateral arthroscopy portal: cadaveric investigation. Arthroscopy. 2007;23:1112–5.
Sevitt S, Thompson RG. The distribution and anastomoses of arteries supplying the head and neck of the femur. J Bone Joint Surg Br. 1965;47:560–73.
Gautier E, Ganz K, Krugel N, Gill T, Ganz R. Anatomy of the medial femoral circumflex artery and its surgical implications. J Bone Joint Surg Br. 2000;82:679–83.
Deinst M, Seil R, Kohn DM. Safe arthroscopic access to the central compartment of the hip. Arthroscopy. 2005;21(12):1510–4.
Hewitt JD, Glisson RR, Guilak F, Vail TP. The mechanical properties of the human hip capsule ligaments. J Arthroplasty. 2002;17(1):82–9.
Bedi A, Galano G, Walsh C, Kelly BT. Capsular management during hip arthroscopy: from femoroacetabular impingement to instability. Arthroscopy. 2011;27(12):1720–31.
Martin HD, Savage A, Braly BA, Palmer IJ, Beall DP, Kelly B. The function of the hip capsular ligaments: a quantitative report. Arthroscopy. 2008;24(2):188–95.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media New York
About this entry
Cite this entry
Marom, N., Hamula, M., Bharam, S. (2015). Hip Arthroscopy: Central Compartment Access. In: Nho, S., Leunig, M., Larson, C., Bedi, A., Kelly, B. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6965-0_19
Download citation
DOI: https://doi.org/10.1007/978-1-4614-6965-0_19
Received:
Accepted:
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-6964-3
Online ISBN: 978-1-4614-6965-0
eBook Packages: MedicineReference Module Medicine