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Hip Arthroscopy, An Issue of Clinics in Sports Medicine, E-Book

Hip Arthroscopy, An Issue of Clinics in Sports Medicine, E-Book

F. Winston Gwathmey

(2016)

Additional Information

Book Details

Abstract

This issue of Clinics in Sports Medicine will focus on hip arthroscopy; specifically, imaging, injections, labrum, cartilage, capsule, cam and many more exciting articles.


Table of Contents

Section Title Page Action Price
Front Cover Cover
Hip Arthroscopy\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Foreword\r vii
Preface: Advances in Hip Arthroscopy\r vii
Hip Arthroscopy: A Brief History\r vii
Imaging in Hip Arthroscopy for Femoroacetabular Impingement: A Comprehensive Approach\r vii
Management of the Acetabular Labrum\r vii
Chondral Lesions of the Hip\r viii
Capsular Management in Hip Arthroscopy\r viii
The Etiology and Arthroscopic Surgical Management of Cam Lesions\r viii
Pincer Impingement\r viii
Iliopsoas: Pathology, Diagnosis, and Treatment\r ix
Hip Instability: Current Concepts and Treatment Options\r ix
Peritrochanteric Endoscopy\r ix
Ischiofemoral Impingement and Hamstring Syndrome as Causes of Posterior Hip Pain: Where Do We Go Next?\r ix
Avoiding Failure in Hip Arthroscopy: Complications, Pearls, and Pitfalls\r x
Rehabilitation After Hip Arthroscopy: A Movement Control–Based Perspective\r x
CLINICS IN SPORTS MEDICINE\r xi
FORTHCOMING ISSUES xi
October 2016 xi
January 2017 xi
April 2017 xi
July 2017 xi
October 2017 xi
RECENT ISSUES xi
April 2016 xi
January 2016 xi
October 2015 xi
July 2015 xi
Foreword xiii
Preface: Advances in Hip Arthroscopy\r xv
Hip Arthroscopy 321
Key points 321
INTRODUCTION AND KEY HISTORICAL DEVELOPMENTS 321
POSITIONING 323
TRACTION 324
PORTALS 326
INSTRUMENTATION 327
INDICATIONS 327
FUTURE 328
REFERENCES 329
Imaging in Hip Arthroscopy for Femoroacetabular Impingement 331
Key points 331
INTRODUCTION 331
PLAIN RADIOGRAPHY 332
COMPUTED TOMOGRAPHY 334
MAGNETIC RESONANCE IMAGING 335
ROLE OF IMAGING IN PREOPERATIVE PLANNING 337
IMAGING PARAMETERS OF SUCCESSFUL FEMOROACETABULAR IMPINGEMENT CORRECTION 338
FUTURE DIRECTIONS 339
SUMMARY 340
REFERENCES 340
Management of the Acetabular Labrum 345
Key points 345
INTRODUCTION 345
DEBRIDEMENT, REPAIR, RECONSTRUCTION: DOES IT MATTER? 346
DEBRIDEMENT, REPAIR, RECONSTRUCTION: IT PROBABLY MATTERS 349
The Labrum is a Pain Generator 349
The Labrum is a Fibrocartilaginous Structure 349
Biomechanical Function Can Be Restored Through Repair or Reconstruction 349
AUTHOR’S TREATMENT ALGORITHM FOR LABRAL MANAGEMENT 349
Controversial Indications for Labral Reconstruction 351
Revision hip arthroscopy 351
Labral tears with moderate intrasubstance damage 351
Coxa Profunda Pincer Deformities 351
SURGICAL TECHNIQUES 352
Labral Debridement and Repair 352
Step by step description of procedure 352
Labral debridement 352
Labral repair 353
LABRAL RECONSTRUCTION PREFERRED TECHNIQUE AND RATIONALE 354
Length of Reconstruction: Longer is Better 355
Graft Choice 355
Technique 355
POSTOPERATIVE CARE 358
SUMMARY 358
REFERENCES 359
Chondral Lesions of the Hip 361
Key points 361
CLINICAL PRESENTATION 362
Impingement 363
Hip Dysplasia 363
Avascular Necrosis 363
TREATMENT 363
Chondroplasty 363
Microfracture 364
Osteochondral Allograft Transplantation 365
Autologous Chondrocyte Implantation/Matrix-assisted Autologous Chondrocyte Implantation 366
Mosaicplasty 366
Cartilage Repair 368
Postoperative Care 368
ALGORITHMS FOR TREATMENT 368
SUMMARY 369
REFERENCES 369
Capsular Management in Hip Arthroscopy 373
Key points 373
INTRODUCTION 373
NORMAL CAPSULE ANATOMY 374
CAPSULAR PATHOPHYSIOLOGY 374
INDICATIONS 377
CONTRAINDICATIONS 377
SURGICAL TECHNIQUE 378
Preoperative Planning 378
Patient Positioning 378
Surgical Procedure 378
POSTOPERATIVE CARE 382
COMPLICATIONS AND MANAGEMENT 384
OUTCOMES 385
SUMMARY 386
REFERENCES 386
The Etiology and Arthroscopic Surgical Management of Cam Lesions 391
Key points 391
INTRODUCTION 391
ETIOLOGY 392
DIAGNOSIS AND IMAGING 393
INDICATIONS AND CONTRAINDICATIONS 395
AUTHOR’S PREFERRED SURGICAL TECHNIQUE 396
Preoperative Planning 396
Preparation and Patient Positioning 396
Surgical Approach 397
Surgical Procedure 397
AUTHOR’S POSTOPERATIVE CARE 398
OUTCOMES 401
SUMMARY 401
REFERENCES 401
Pincer Impingement 405
Key points 405
INTRODUCTION 405
ACETABULAR ANATOMY 405
DEFINITION AND PATHOMECHANICS 406
DIAGNOSIS 406
SURGICAL INDICATIONS 407
Global Acetabular Retroversion 408
Role of Prophylactic Surgery 408
ARTHROSCOPIC ACETABULOPLASTY 409
Preoperative Analysis 409
Portal Placement/Arthroscopic Orientation 409
Intraoperative Evaluation 410
MANAGEMENT OF THE ACETABULAR LABRUM 411
Refix Versus Resect 411
Labral Detachment During Acetabuloplasty 411
SUBSPINE IMPINGEMENT 413
OS ACETABULI 413
COMPLICATIONS 415
SUMMARY 415
REFERENCES 415
Iliopsoas 419
Key points 419
INTRODUCTION 419
ANATOMY AND FUNCTION 420
ILIOPSOAS SNAPPING 422
Snapping Mechanism 422
Iliopsoas Bursitis and Tendonitis 423
History and Physical Examination 423
Imaging 423
Surgical Treatment 425
ILIOPSOAS IMPINGEMENT 429
SUMMARY 430
REFERENCES 430
Hip Instability 435
Key points 435
RELEVANT ANATOMY 435
TRAUMATIC INSTABILITY 437
MICROINSTABILITY AND THE IMPLICATION OF FEMOROACETABULAR IMPINGEMENT 437
DEVELOPMENTAL DYSPLASIA OF THE HIP 438
IATROGENIC HIP INSTABILITY 439
EVALUATION 439
History 439
Physical Examination 440
Imaging 440
TREATMENT 440
Nonoperative Treatment 440
Acute Surgical Treatment 440
Arthroscopy in Patients with Dysplasia 441
Arthroscopic Capsular Plication 441
Limitations of Arthroscopy 442
Periacetabular Osteotomy 443
Concomitant Arthroscopy and Periacetabular Osteotomy 443
SUMMARY 444
REFERENCES 444
Peritrochanteric Endoscopy 449
Key points 449
INTRODUCTION 449
GLUTEUS MEDIUS AND MINIMUS TEARS 449
SURGICAL POSITIONING AND PORTAL PLACEMENT 451
Gluteal Tendon Repair Technique 452
COXA SALTANS 454
Internal Coxa Saltans 459
Iliopsoas Tendon Recession 460
External Coxa Saltans 461
Trochanteric Bursitis 462
Iliotibial Band Release 465
SUPPLEMENTARY DATA 466
REFERENCES 466
Ischiofemoral Impingement and Hamstring Syndrome as Causes of Posterior Hip Pain 469
Key points 469
ANATOMY AND BIOMECHANICS 470
HISTORY AND PHYSICAL EXAMINATION 472
DIFFERENTIAL DIAGNOSIS 475
IMAGING AND ANCILLARY TESTS 476
TREATMENT 478
Nonoperative Treatment 478
Surgical Treatment 478
Postoperative Treatment 481
SUMMARY 483
REFERENCES 483
Avoiding Failure in Hip Arthroscopy 487
Key points 487
INTRODUCTION 487
COMPLICATIONS 488
Nerve Dysfunction 488
Arterial Injury 489
Chondrolabral Damage 489
Instrument Breakage 490
Skin or Urogenital Injury 490
Heterotopic Ossification 491
Abdominal Compartment Syndrome 492
PITFALLS TO AVOID AND TIPS FOR A SUCCESSFUL HIP ARTHROSCOPY 493
Learning Curve 493
Asymptomatic Radiographic Findings 493
Osteoarthritis 494
Bony Morphology Not Amenable to Arthroscopic Treatment 495
Hip Destabilization 496
Obesity 496
Surgical Technique 497
SUMMARY 497
REFERENCES 497
Rehabilitation After Hip Arthroscopy 503
Key points 503
BACKGROUND 503
JOINT PROTECTION 504
MOBILITY 505
Phase 1 Mobility Exercises 505
Phase 2 Mobility Exercises 505
Phase 3 Mobility Exercises 505
MUSCLE PERFORMANCE AND STABILITY 508
Phase 1 Muscle Performance and Stability Exercises 508
Phase 2 Muscle Performance and Stability Exercises 508
Phase 3 Muscle Performance and Stability Exercises 511
Phase 4 Muscle Performance and Stability Exercises 514
NEUROMUSCULAR CONTROL 515
Phase 1 Neuromuscular Control Exercises 515
Phase 2 Neuromuscular Control Exercises 515
Phase 3 Neuromuscular Control Exercises 516
Phase 4 Neuromuscular Control Exercises 518
SUMMARY 519
REFERENCES 519
Index 523