Computed tomography arthrography in traumatic hip dislocation

Tp, Glynn; Dl, Kreipke; DeRosa, G. Paul

doi:10.1007/bf00366768

Cited by 16 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The incidence of labral tears, articular injuries, and disruption of the ligamentum teres is more common than has been suggested by previous literature that included only case reports. 1, 2, 17–19, 21, 30, 32 Arthroscopy has also proven to be more sensitive for detecting some of the traditionally recognized disorders, including arthritis, synovial disease, and sepsis. 4, 26, 33…”

mentioning

confidence: 99%

Diagnostic Accuracy of Clinical Assessment, Magnetic Resonance Imaging, Magnetic Resonance Arthrography, and Intra-Articular Injection in Hip Arthroscopy Patients

2004

View full text Add to dashboard Cite

In this series, clinical assessment accurately determined the existence of intra-articular abnormality but was poor at defining its nature. Magnetic resonance arthrography was much more sensitive than magnetic resonance imaging at detecting various lesions but had twice as many false-positive interpretations. Response to an intra-articular injection of anesthetic was a 90% reliable indicator of intra-articular abnormality.

show abstract

mentioning

confidence: 99%

Diagnostic Accuracy of Clinical Assessment, Magnetic Resonance Imaging, Magnetic Resonance Arthrography, and Intra-Articular Injection in Hip Arthroscopy Patients

2004

View full text Add to dashboard Cite

show abstract

“…Gray u. Villar beschrieben eine Stumpfresektion in 2 Fällen und ein Débridement in 9 Fällen [56]. So liegen ausschließlich Ergebnisse nach offener LCF-Resektion vor [7,29,37,48], dabei wurden ausschließlich sehr gute klinische Ergebnisse angegeben. Klinische Ergebnisse nach arthroskopischer Therapie wurden bisher nicht beschrieben.…”

Section: Radiologische Diagnostik Gray U Villarunclassified

H�ftarthroskopie

Dienst¹,

Kohn²

2001

Der Unfallchirurg

View full text Add to dashboard Cite

Arthroscopy of the hip joint has developed into a useful tool for the hip surgeon. Hip joint anatomy, however, makes special demands of the arthroscopist. He needs to be familiar with the arthroscopic anatomy of the hip and its variations. Moreover, he should have practical training in the technique of hip arthroscopy prior to his first intraoperative experience in order to avoid complications. A complete arthroscopic inspection of the hip can be achieved by using a combined procedure: whereas the central hip compartment can be scoped only by distraction of the joint, the periphery can be better seen without traction. Whether to place the patient supine or lateral is dependent on personal experience. No matter which position is used, the positioning technique has to be exact. The literature has shown that most complications are related to traction. Before the first portal is placed, the joint vacuum force should be broken by distension of air or fluid. This leads to maximum distraction of the joint and reduces the risks of damage to labrum and cartilage during first access to the joint. For a diagnostic round through the central compartment, at least two portals have to be placed. The use of a 3-portal technique increases the range of inspection. Due to the relatively thin soft tissue mantle and greater distance to neurovascular structures, the anterolateral or lateral portal should be used as the first portals to the central compartment. In addition, the anterolateral portal is the standard portal to the periphery of the hip. The posterolateral or anterior portal should be used as a supplementary portal. The following indications have been described for an arthroscopic procedure of the hip: loose bodies, labral lesions, synovial diseases such as chondromatosis and pigmented villonodular synovitis, associated lesions in underlying osteoarthritis, ruptures of the teres ligament, malorientation of the acetabulum and proximal femur and, last but not least, "idiopathic" hip pain. The use of hip arthroscopy in infectious arthritis, avascular necrosis of the femoral head, Perthes' disease, osteochondrosis dissecans and complications after total hip replacement is less frequent. Here, in addition to its diagnostic value, operative arthroscopy of the hip offers removal of loose bodies, resection of the labrum and ligaments, synovial biopsy, partial synovectomy, microfracturing, lavage and placement of intraarticular drainage. The first results of arthroscopic procedures in the hip are promising. In addition to its diagnostic value and contribution to the understanding of intraarticular anatomy and pathology, recent studies have demonstrated the advantages of the arthroscopic treatment of the hip.

show abstract

“…The orthopedic surgeon occasionally affronts a situation when the etiology of traumatic painful hip joint is not vivid [1, 3, 10] and lack of definitive diagnosis prolongs the patient's suffering. However, an elaborate history taking and pragmatic apt arthroscopic intervention can curtail the illness span.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic management of acute painful hip following occult subluxation: evidence-based case report

Pandher

Lee

2007

Knee Surg Sports Traumatol Arthr

View full text Add to dashboard Cite

Arthroscopy of the hip joint has gained popularity in the recent past leading to an explosive increase in our knowledge of intra-articular hip pathologies. However, a spectrum of intra-articular hip lesions still needs to be explored to further advance the understanding, diagnosis and treatment of hip pathologies. The orthopedic surgeon occasionally affronts a situation when etiology of traumatic painful hip joint is not vivid and lack of definitive diagnosis prolongs the patient's suffering; however, an elaborate history taking and pragmatic apt arthroscopic intervention can curtail the illness span. Radiological examination generally fails to provide complete diagnosis in hip joints due to compact anatomy of the joint, and a negative report should not be considered as a deterrent for arthroscopic intervention. We report two evidence-based cases to highlight the significance of arthroscopic evaluation and management for occult subluxation of the hip. In both the cases, there was significant and prompt relief of symptoms after arthroscopic debridement.

show abstract

Computed tomography arthrography in traumatic hip dislocation

Cited by 16 publications

References 14 publications

Diagnostic Accuracy of Clinical Assessment, Magnetic Resonance Imaging, Magnetic Resonance Arthrography, and Intra-Articular Injection in Hip Arthroscopy Patients

Diagnostic Accuracy of Clinical Assessment, Magnetic Resonance Imaging, Magnetic Resonance Arthrography, and Intra-Articular Injection in Hip Arthroscopy Patients

H�ftarthroskopie

Arthroscopic management of acute painful hip following occult subluxation: evidence-based case report

Contact Info

Product

Resources

About