Peripheral Compartment as the Initial Access for Hip Arthroscopy in Complex Cases: Technical Note

Abstract

When performing arthroscopic procedures, the hip joint is divided into central and peripheral compartments. Currently, both compartments are evaluated in most of the procedures, but the procedures are usually started by accessing the central compartment. When a direct approach to the central compartment is significantly impeded, it is necessary to perform the initial arthroscopic approach to the hip from the peripheral compartment using either an intracapsular technique or an extracapsular technique. The technical pearls that might be required in these patients are discussed, and typical clinical cases are presented.

Rapid development of osteoarthritis following arthroscopic resection of an “os acetabuli” in a mildly dysplastic hip—a case report

“…She was placed supine on the traction table. Due to the shape, size, and location of the lesion, access to the central compartment was difficult and an “outside-in” technique with a T-shaped capsulotomy was performed ( Horisberger et al 2010 , Cuéllar et al 2013 ). Dynamic intraoperative assessment showed impingement between the “os acetabuli” and the superior labrum, which was slightly frayed and detached from the acetabulum ( Figure 3 ).…”