Hip Arthroscopy

Casp, Aaron; Gwathmey, F. Winston

doi:10.1016/j.csm.2017.12.005

Cited by 20 publications

(16 citation statements)

References 101 publications

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“…Our technique uses a dermal allograft that has been shown in a cadaveric biomechanical study to restore distractive strength after hip capsule reconstruction. 19 Other grafts have been used in capsular reconstruction, including Achilles tendon allograft and iliotibial band allograft. 14 , 20 , 21 , 22 The presented technique provides an efficient and reliable surgical method for capsular reconstruction that can be utilized for measurement, placement, and fixation regardless of graft material.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Hip Capsule Reconstruction for Anterior Hip Capsule Insufficiency in the Revision Setting

Featherall

Tomasevich

O’Neill

et al. 2021

Arthroscopy Techniques

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Iatrogenic hip instability is increasingly recognized as a cause of persistent pain and disability after hip arthroscopy. Many authors currently advocate capsular repair to reduce postoperative instability. However, anatomic deficiencies in the anterosuperior capsule can prevent a functional capsular repair, particularly in the revision setting. Capsular reconstruction has been shown to restore biomechanical stabilization in cadaveric models and improve shortterm patient outcomes in patients with primary hip arthroscopy failure. Arthroscopic hip capsular reconstruction is technically challenging, largely owing to complex suture management and difficulties with graft placement and sizing. This article describes the capsular reconstruction technique, detailing the technical aspects of anterosuperior capsular defect identification; capsular preparation; suture management; and dermal allograft sizing, preparation, and positioning.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Hip Capsule Reconstruction for Anterior Hip Capsule Insufficiency in the Revision Setting

Featherall

Tomasevich

O’Neill

et al. 2021

Arthroscopy Techniques

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“…B oth diagnosis and treatment of FAI syndrome has consistently increased between 2000 and 2016 1,2 . Compared with nonoperative hip therapy, surgical intervention has been shown to improve patient-reported outcome scores with FAI 8 .…”

Section: Discussionmentioning

confidence: 99%

“…Arthroscopic treatment of intra-articular hip pathology has been increasing over the past 10 years 1,2 . Despite showing generally good to excellent outcomes, there are a variety of complications when treating femoroacetabular impingement (FAI) syndrome using hip arthroscopy.…”

mentioning

confidence: 99%

Femoral Neck Over-Resection After Hip Arthroscopy Treated with Vascularized Fibula Autograft

Rodkey

Dickens

Tintle

2021

JBJS Case Connector

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Case: We describe a case of femoroacetabular impingement syndrome treated with labral repair and arthroscopic femoral osteoplasty in a 30-year-old man. The case was complicated by resection of 50% of the femoral neck resulting in high risk of an impending femoral neck fracture. The patient was treated with a vascularized fibula autograft and internal fixation. Conclusion: Complications of femoral neck over-resection can threaten the viability and structural integrity of the hip joint but may successfully be treated with vascularized fibula autograft.

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“…The capsule of the hip joint is a cylindrical-shaped arrangement of dense fibres connecting the acetabulum and femur through firm proximal attachments to the acetabular periosteum and distal attachments to the inter-trochanteric line on the femur anteriorly. 1 The thickness of the capsule has been observed to vary, but it is reinforced consistently by the capsular ligaments. These ligaments guarantee stability and prevent the hypermobility of the hip.…”

Section: Introductionmentioning

confidence: 99%

The role of the iliofemoral ligament as a stabilizer of the hip joint

et al. 2021

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The purpose of this systematic literature review is to analyse the role of the iliofemoral ligament (ILFL) as a hip joint stabilizer in the current literature. A total of 26 articles were included in the review. The ILFL is the largest hip ligament consisting of two distinct arms and is highly variable, both in its location and overall size, and plays a primary role in hip stability; in the case of hip dislocation, the iliofemoral ligament tear does not heal, resulting in a persistent anterior capsule defect. Clinically, the ILFL is felt to limit external rotation in flexion and both internal and external rotation in extension. The abduction–hyperextension–external rotation (AB-HEER) test is overall the most accurate test to detect ILFL lesions. Injuries of the ILFL could be iatrogenic or a consequence of traumatic hip instability, and can be accurately studied with magnetic resonance imaging. Different arthroscopic and open techniques have been described in order to preserve the ILFL during surgery and, in case of lesions, several procedures with good to excellent results have been reported in the existing literature. The current systematic review, focusing only on the ILFL of the hip, summarizes the existing knowledge on anatomy, imaging and function and contributes to the further understanding of the ILFL, confirming its key role in anterior hip stability. Future studies will have to develop clinical tests to evaluate the functionality and stability of the ILFL. Cite this article: EFORT Open Rev 2021;6:545-555. DOI: 10.1302/2058-5241.6.200112

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Hip Arthroscopy

Cited by 20 publications

References 101 publications

Arthroscopic Hip Capsule Reconstruction for Anterior Hip Capsule Insufficiency in the Revision Setting

Arthroscopic Hip Capsule Reconstruction for Anterior Hip Capsule Insufficiency in the Revision Setting

Femoral Neck Over-Resection After Hip Arthroscopy Treated with Vascularized Fibula Autograft

The role of the iliofemoral ligament as a stabilizer of the hip joint

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