Arthroscopy, 2011
Bedi A, Galano G, Walsh C, Kelly BT
Progress in the ability to treat various soft-tissue and bony disorders of the hip arthroscopically has been achieved thanks to improved access to the central, peripheral and peritrochanteric compartments. Management of the capsule is of great importance and must allow excellent access without compromising the stability and kinematics of the hip. Various approaches have been described, such as capsulectomy, limited capsulotomy, extensive capsulotomy, capsular plication and capsular shift. In choosing the technique the surgeon must take a number of factors into account, including the symptoms, any underlying hyperlaxity, the specific mechanical pathology and surgical skill. Using a single approach in every case, without first considering the complex mechanical and anatomical factors that are unique to each patient, may result in incomplete treatment of the pathological anatomy of the lesion or in iatrogenic instability. This article describes the anatomy of the joint capsule and provides a diagnosis-based view of the management of the capsule during hip arthroscopy.
Hip Arthroscopy
CAPSULAR MANAGEMENT IN HIP ARTHROSCOPY: FROM FEMOROACETABULAR IMPINGEMENT TO INSTABILITY
Dr Alexandros P. Tzaveas
Orthopaedic Surgeon
Medical Disclaimer
This article is for information only and does not constitute medical advice. For an individual assessment, please consult your doctor.
Summary
- Management of the capsule is of great importance and must allow excellent access without compromising the stability and kinematics of the hip.
- Various approaches have been described, such as capsulectomy, limited capsulotomy, extensive capsulotomy, capsular plication and capsular shift.
- This article describes the anatomy of the joint capsule and provides a diagnosis-based view of the management of the capsule during hip arthroscopy.
hiparthroscopyFAIinstability
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