Ultrasound Can Determine Joint Distraction During Hip Arthroscopy but Fluoroscopic-Guided Portal Placement Is Superior

Trasolini, Nicholas A.; Sivasundaram, Lakshmanan; Rice, Morgan; Gürsoy, Safa; Clapp, Ian M.; Alter, Thomas D.; Gaggiotti, Stefano; Nho, Shane J.

doi:10.1016/j.asmr.2022.03.005

Cited by 3 publications

(4 citation statements)

References 36 publications

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“… 21 , 22 , 23 , 24 In a recent cadaveric study in which portals were made by the same surgeon under US versus fluoroscopic guidance, Trasolini et al. 25 found rates of iatrogenic injury to be significantly greater with US guidance. In contrast, Byrd et al.…”

Section: Discussionmentioning

confidence: 99%

“… 16 , 17 , 18 Although US can be used to assess the alpha angle, 16 , 17 , 18 , 19 , 20 much of the literature regarding the use of US in hip arthroscopy has addressed arthroscopic portal placement. 21 , 22 , 23 , 24 , 25 Given the significant disadvantages of fluoroscopy, the use of US to assess the alpha angle intraoperatively and, thereby, the adequacy of cam resection is of substantial interest in the arthroscopic treatment of FAIS. The purpose of this technical article is to provide instruction and guidance on the use of intraoperative US to measure the alpha angle and determine the adequacy of cam resection.…”

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confidence: 99%

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Intraoperative Use of Ultrasound for Assessing Cam Deformity and Cam Resection

Kaplan¹,

Fenn²,

Larson³

et al. 2023

Arthroscopy Techniques

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Intraoperative Use of Ultrasound for Assessing Cam Deformity and Cam Resection

Kaplan¹,

Fenn²,

Larson³

et al. 2023

Arthroscopy Techniques

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“…Then follow the trajectory of the previously placed cannula inside the joint and make it parallel to it. If the trajectories are matched, the insertion needle comes out from the interportal capsulotomy zone and points towards the 1–2 o'clock position, which is a perfect place for anchor placement at the anterior acetabular rim. Fluoroscopy or ultrasound may be used to determine the adequacy of traction [44]. We prefer to use fluoroscopy.…”

Section: Step‐by‐step Techniquementioning

confidence: 99%

“…Fluoroscopy or ultrasound may be used to determine the adequacy of traction [44]. We prefer to use fluoroscopy.…”

Section: Step‐by‐step Techniquementioning

confidence: 99%

Basics of hip arthroscopy: Step‐by‐step technique

Gursoy,

Cirdi,

Kirac

et al. 2024

J. exp. orthop.

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Hip arthroscopy is a surgical procedure that has a technically challenging nature, requiring advanced spatial skills and specialised instrumentation. The most common indication for hip arthroscopy is femoroacetabular impingement, which is increasing due to improved awareness and knowledge of the condition among healthcare professionals. Hip arthroscopy requires many different checkpoints from patient positioning to capsule closure to be successfully completed. Patient positioning is one of the keystones of hip arthroscopy and the probability of a surgeon achieving successful outcomes is significantly influenced by the establishment of optimal access points. The importance of the acetabular labrum and capsule has been better understood in recent years. There has been a noticeable preference towards prioritising acetabular labral repair over debridement or excision. Similarly, consistent with the literature, capsule closure restores naive hip biomechanics more successfully and improves functional outcomes following hip arthroscopy. Osteochondroplasty is a frequently employed therapeutic intervention; yet, attaining optimal osteochondroplasty outcomes might present challenges. The aim is, to restore the full perfect sphericity of the femoral head without attenuation of the head. The aim of this article is to highlight the knowledge accumulated from experiences based on previous hip arthroscopy surgeries as a solution for future troubleshooting steps.Level of Evidence: Level V.

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Imaging and Preoperative Planning of Athletic Hip Pathology

Lee,

Bedi

2024

Operative Techniques in Sports Medicine

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Ultrasound Can Determine Joint Distraction During Hip Arthroscopy but Fluoroscopic-Guided Portal Placement Is Superior

Cited by 3 publications

References 36 publications

Intraoperative Use of Ultrasound for Assessing Cam Deformity and Cam Resection

Intraoperative Use of Ultrasound for Assessing Cam Deformity and Cam Resection

Basics of hip arthroscopy: Step‐by‐step technique

Imaging and Preoperative Planning of Athletic Hip Pathology

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