Hip Arthroscopy With Initial Access to the Peripheral Compartment: a Detailed Step-by-Step Technique Description
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/3798 |
Resumo: | Hip arthroscopy with initial access to the peripheral compartment represents a specific technique to approach the hip that can be particularly useful. This technique is suitable for both the arthroscopic treatment of femoroacetabular impingement syndrome and other pathologies that can be addressed by classic arthroscopy with central compartment initial access. Minimal capsulotomies preserve the fluid pressure in the peripheral compartment, which allows the "ballooning" of the capsule and improved joint exposure with decreased risk of fluid extravasation. In the vast majority of cases, the hip joint can be accessed by any technique depending on the surgeon preference/expertise. Interestingly, access to the central compartment under direct arthroscopic visualization decreases the risk of iatrogenic labral and chondral damage. This is particularly important when access to the central compartment is technically challenging (e.g., acetabular overcoverage, labral hypertrophy, and limited joint distraction). Such a technique is also preferable if the pathology is mainly located in the peripheral compartment. Despite several advantages, hip arthroscopy with initial access to the peripheral compartment is not a commonly performed technique. Our purpose is to perform a step-by-step explanation of a previously described technique. |
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Hip Arthroscopy With Initial Access to the Peripheral Compartment: a Detailed Step-by-Step Technique DescriptionHCC ORTAdolescentAdultFemaleMaleHumansMiddle AgedArthroscopy / methods*Follow-Up StudiesFemoracetabular Impingement / surgery*Hip / surgeryHip Dislocation / epidemiologyHip Joint / surgery*Longitudinal StudiesTreatment OutcomeOsteoarthritis / epidemiologyYoung AdultProspective StudiesHip arthroscopy with initial access to the peripheral compartment represents a specific technique to approach the hip that can be particularly useful. This technique is suitable for both the arthroscopic treatment of femoroacetabular impingement syndrome and other pathologies that can be addressed by classic arthroscopy with central compartment initial access. Minimal capsulotomies preserve the fluid pressure in the peripheral compartment, which allows the "ballooning" of the capsule and improved joint exposure with decreased risk of fluid extravasation. In the vast majority of cases, the hip joint can be accessed by any technique depending on the surgeon preference/expertise. Interestingly, access to the central compartment under direct arthroscopic visualization decreases the risk of iatrogenic labral and chondral damage. This is particularly important when access to the central compartment is technically challenging (e.g., acetabular overcoverage, labral hypertrophy, and limited joint distraction). Such a technique is also preferable if the pathology is mainly located in the peripheral compartment. Despite several advantages, hip arthroscopy with initial access to the peripheral compartment is not a commonly performed technique. Our purpose is to perform a step-by-step explanation of a previously described technique.ElsevierRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEDantas, PGonçalves, SMascarenhas, VBarreira, MMarin-Peña, O2021-08-09T11:41:53Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/3798engArthrosc Tech. 2020 Oct 22;9(11):e1651-e1655.10.1016/j.eats.2020.07.006.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-04-16T05:45:30Zoai:repositorio.chlc.min-saude.pt:10400.17/3798Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:21:07.115290Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Hip Arthroscopy With Initial Access to the Peripheral Compartment: a Detailed Step-by-Step Technique Description |
title |
Hip Arthroscopy With Initial Access to the Peripheral Compartment: a Detailed Step-by-Step Technique Description |
spellingShingle |
Hip Arthroscopy With Initial Access to the Peripheral Compartment: a Detailed Step-by-Step Technique Description Dantas, P HCC ORT Adolescent Adult Female Male Humans Middle Aged Arthroscopy / methods* Follow-Up Studies Femoracetabular Impingement / surgery* Hip / surgery Hip Dislocation / epidemiology Hip Joint / surgery* Longitudinal Studies Treatment Outcome Osteoarthritis / epidemiology Young Adult Prospective Studies |
title_short |
Hip Arthroscopy With Initial Access to the Peripheral Compartment: a Detailed Step-by-Step Technique Description |
title_full |
Hip Arthroscopy With Initial Access to the Peripheral Compartment: a Detailed Step-by-Step Technique Description |
title_fullStr |
Hip Arthroscopy With Initial Access to the Peripheral Compartment: a Detailed Step-by-Step Technique Description |
title_full_unstemmed |
Hip Arthroscopy With Initial Access to the Peripheral Compartment: a Detailed Step-by-Step Technique Description |
title_sort |
Hip Arthroscopy With Initial Access to the Peripheral Compartment: a Detailed Step-by-Step Technique Description |
author |
Dantas, P |
author_facet |
Dantas, P Gonçalves, S Mascarenhas, V Barreira, M Marin-Peña, O |
author_role |
author |
author2 |
Gonçalves, S Mascarenhas, V Barreira, M Marin-Peña, O |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Dantas, P Gonçalves, S Mascarenhas, V Barreira, M Marin-Peña, O |
dc.subject.por.fl_str_mv |
HCC ORT Adolescent Adult Female Male Humans Middle Aged Arthroscopy / methods* Follow-Up Studies Femoracetabular Impingement / surgery* Hip / surgery Hip Dislocation / epidemiology Hip Joint / surgery* Longitudinal Studies Treatment Outcome Osteoarthritis / epidemiology Young Adult Prospective Studies |
topic |
HCC ORT Adolescent Adult Female Male Humans Middle Aged Arthroscopy / methods* Follow-Up Studies Femoracetabular Impingement / surgery* Hip / surgery Hip Dislocation / epidemiology Hip Joint / surgery* Longitudinal Studies Treatment Outcome Osteoarthritis / epidemiology Young Adult Prospective Studies |
description |
Hip arthroscopy with initial access to the peripheral compartment represents a specific technique to approach the hip that can be particularly useful. This technique is suitable for both the arthroscopic treatment of femoroacetabular impingement syndrome and other pathologies that can be addressed by classic arthroscopy with central compartment initial access. Minimal capsulotomies preserve the fluid pressure in the peripheral compartment, which allows the "ballooning" of the capsule and improved joint exposure with decreased risk of fluid extravasation. In the vast majority of cases, the hip joint can be accessed by any technique depending on the surgeon preference/expertise. Interestingly, access to the central compartment under direct arthroscopic visualization decreases the risk of iatrogenic labral and chondral damage. This is particularly important when access to the central compartment is technically challenging (e.g., acetabular overcoverage, labral hypertrophy, and limited joint distraction). Such a technique is also preferable if the pathology is mainly located in the peripheral compartment. Despite several advantages, hip arthroscopy with initial access to the peripheral compartment is not a commonly performed technique. Our purpose is to perform a step-by-step explanation of a previously described technique. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020 2020-01-01T00:00:00Z 2021-08-09T11:41:53Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/3798 |
url |
http://hdl.handle.net/10400.17/3798 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Arthrosc Tech. 2020 Oct 22;9(11):e1651-e1655. 10.1016/j.eats.2020.07.006. |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier |
publisher.none.fl_str_mv |
Elsevier |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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