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Routine Arthroscopy and Access: Central and Peripheral Compartments, Iliopsoas Bursa, Peritrochanteric, and Subgluteal Spaces

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Operative Hip Arthroscopy

Abstract

Proper access to the hip is imperative for safe, effective arthroscopy. Thoughtful technique is essential for entering the joint in an atraumatic fashion. Positioning the portals properly is critical in order to effectively reach and treat various disorders that reside within the hip. This chapter details routine access to the central compartment and various techniques for accessing the peripheral compartment. In addition, details are provided on iliopsoas bursoscopy and endoscopic access to the peritrochanteric and subgluteal spaces. Detailed descriptions are given with illustrative case examples.

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References

  1. Byrd JWT. Hip arthroscopy utilizing the supine position. Arthroscopy. 1994;10(3):275–80.

    Article  PubMed  CAS  Google Scholar 

  2. Dienst M, Godde S, Seil R, Hammer D, Kohn D. Hip arthroscopy without traction: in vivo anatomy of the peripheral hip joint cavity. Arthroscopy. 2001;17(9):924–31.

    Article  PubMed  CAS  Google Scholar 

  3. Byrd JWT. Hip arthroscopy, the supine approach: technique and anatomy of the intraarticular and peripheral compartments. Tech Orthop. 2005;20(1):17–31.

    Article  Google Scholar 

  4. Byrd JWT. Snapping hip. Oper Tech Sports Med. 2005;13(1): 46–54.

    Article  Google Scholar 

  5. Voos JE, Ranawat AS, Kelly BT. The peritrochanteric space of the hip. Instr Course Lect. 2009;58:193–201.

    PubMed  Google Scholar 

  6. Martin HD, Shears SA, Johnson JC, et al. The endoscopic treatment of sciatic nerve entrapment/deep gluteal syndrome. Arthroscopy. 2011;27(2):172–81.

    Article  PubMed  Google Scholar 

  7. Byrd JWT, Chern KY. Traction vs distension for distraction of the hip joint during arthroscopy. Arthroscopy. 1997;13(3): 346–9.

    Article  PubMed  CAS  Google Scholar 

  8. Sampson TG. Complications of hip arthroscopy. Tech Orthop. 2005;20:63–6.

    Article  Google Scholar 

  9. Byrd JWT. Hip arthroscopy. J Am Acad Orthop Surg. 2006;14: 433–44.

    PubMed  Google Scholar 

  10. Byrd JWT, Jones KS. Hip arthroscopy in athletes. 10 year follow up. Am J Sports Med. 2009;37:2140–3. Originally published online August 14, 2009.

    Article  PubMed  Google Scholar 

  11. Byrd JWT, Pappas JN, Pedley MJ. Hip arthroscopy: an anatomic study of portal placement and relationship to the extra-articular structures. Arthroscopy. 1995;11(4):418–23.

    Article  PubMed  CAS  Google Scholar 

  12. Byrd JWT. Portal anatomy. In: Byrd JWT, editor. Operative hip arthroscopy. 2nd ed. New York: Springer; 2005. p. 110–6.

    Chapter  Google Scholar 

  13. Kelly BT, Weiland DE, Schenker ML, Philippon MJ. Arthroscopic labral repair in the hip: surgical technique and review of the literature. Arthroscopy. 2005;21(12):1496–504.

    Article  PubMed  Google Scholar 

  14. Byrd JWT. Avoiding the labrum in hip arthroscopy. Arthroscopy. 2000;16(7):770–3.

    Article  PubMed  CAS  Google Scholar 

  15. Stubbs AJ. Intra-articular arthroscopic recession of the iliopsoas tendon: medial protection, 2011 Annual meeting multimedia education center, American Academy of Orthopaedic Surgeons, Chicago; 2011.

    Google Scholar 

  16. Byrd JWT. Labral lesions, an elusive source of hip pain: case reports and review of the literature. Arthroscopy. 1996;12(5):603–12.

    Article  PubMed  CAS  Google Scholar 

  17. Keene GS, Villar RN. Arthroscopic anatomy of the hip: an in vivo study. Arthroscopy. 1994;10(4):392–9.

    Article  PubMed  CAS  Google Scholar 

  18. Byrd JWT. Hip arthroscopy. Portal technique and arthroscopic anatomy. Orthopade. 2006;35(1):41–2. 44–50, 52–3.

    Article  PubMed  CAS  Google Scholar 

  19. Byrd JWT, Jones KS. Arthroscopic management of femoroacetabular impingement. Instr Course Lect. 2009;58: 231–9.

    PubMed  Google Scholar 

  20. Ranawat AS, McClincy M, Sekiya JK. Anterior dislocation of the hip after arthroscopy in a patient with capsular laxity of the hip. A case report. J Bone Joint Surg Am. 2009;91(1):192–7.

    Article  PubMed  Google Scholar 

  21. Byrd JWT. Hip arthroscopy for non-structural hip problems. Ch 53. In: Berry DJ, Lieberman JR, editors. Surgery of the hip. Philadelphia: Elsevier (Saunders), 2013

    Google Scholar 

  22. Wettstein M, Jung J, Dienst M. Arthroscopic psoas tenotomy. Arthroscopy. 2006;22(8):907.e1–4.

    Article  Google Scholar 

  23. Byrd JWT. Arthroscopic management of femoroacetabular impingement (FAI). Surg Tech Orthop Traumatol. 2011:67–80.

    Google Scholar 

  24. Byrd JWT. Evaluation and management of the snapping iliopsoas tendon. Instr Course Lect. 2006;55:347–55.

    PubMed  Google Scholar 

  25. Byrd JWT, Polkowski GG, Jones KS. Endoscopic management of the snapping iliopsoas tendon (SS-33). Arthroscopy. 2009;25 Suppl 6:18.

    Google Scholar 

  26. Velasco AD, Allan DB, Wroblewski BM. Psoas tenotomy and heterotopic ossification after Charnley low-friction arthroplasty. Clin Orthop Relat Res. 1993;291:193–5.

    PubMed  Google Scholar 

  27. Voos JE, Shindle Mk, Pruett A. Endoscopic repair of gluteus medius tendon tears of the hip. Am J Sports Med. 2009;37(4):743–7.

    Article  PubMed  Google Scholar 

  28. Byrd JWT. Piriformis syndrome. Oper Tech Sports Med. 2005;13(1): 71–9.

    Article  Google Scholar 

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Authors and Affiliations

  1. Nashville Sports Medicine Foundation, 2011 Church Street, Suite 100, Nashville, TN, 37203, USA

    J. W. Thomas Byrd M.D.

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  1. J. W. Thomas Byrd M.D.
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Correspondence to J. W. Thomas Byrd M.D. .

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Editors and Affiliations

  1. Orthopaedic Center, Baptist Medical Plaza I, Nashville Sports Medicine and, Church Street 2011, Nashville, 37203, Tennessee, USA

    J.W. Thomas Byrd

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Byrd, J.W.T. (2013). Routine Arthroscopy and Access: Central and Peripheral Compartments, Iliopsoas Bursa, Peritrochanteric, and Subgluteal Spaces. In: Byrd, J. (eds) Operative Hip Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7925-4_11

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  • DOI: https://doi.org/10.1007/978-1-4419-7925-4_11

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-7924-7

  • Online ISBN: 978-1-4419-7925-4

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