Hip Arthroscopy to Remove Loose Bodies After Traumatic Dislocation

Abstract

Loose bodies are routinely present after closed treatment of hip dislocations or wall fractures not otherwise requiring surgery, even when radiographs are negative. Hip arthroscopy may be indicated for loose body removal when open treatment is not otherwise necessary.

Arthroscopic Treatment of Traumatic Hip Dislocations in Children and Adolescents: A Preliminary Study

“…If not identified and treated in a timely manner, incongruity can lead to secondary degenerative osteoarthritis. 2,3 Obstructions may include a complex composed of the posterior margin of the acetabulum, capsule and labrum, osteochondral loose body fragments, or ligamentum teres avulsions. [3][4][5][6] Incongruity may be subtle with plain radiography and small bony fragments and/or soft-tissue entrapment are often obscured and overlooked.…”

Arthroscopic Treatment of Bucket-Handle Labral Tear and Acetabular Fracture

“…Radiographs in this case showed increased joint space after initial closed reduction. Mullis and Dahners 10 found that 7 of 9 hip dislocation patients had loose bodies although no loose bodies were detected preoperatively and the joints were congruent on imaging. This illustrates that conventional radiographs and CT scans do not depict the extent of chondral or labral pathology associated with traumatic hip dislocation.…”

Acute scrotal oedema after hip arthroscopy in traumatic hip dislocation. Unusual complication

“…8,11,12 The presence of fluid in the abdominal and retroperitoneal cavities after hip arthroscopy is reported in both large series of patients 4,5,14 and case-reports. 1, 6 We found one reported case of scrotal cutaneous necrosis due to excessive traction during surgery.…”

“…4,7,10,14,15 As in other joints, loose intraarticular bodies in the hip joint should be removed by arthroscopy, whose benefits in this respect are well-documented and less-invasive than traditional open techniques. 8,11 2. Case report A 28-year-old make with no relevant medical history was attended by the emergency department after suffering a highimpact motorbike-car collision.…”